UNKNOWN

FEED

Keywords: #LI-AR2, Physician Advisor, Physician Executive, Medical Director, Utilization Management, Utilization Review, Medical Necessity Review, Clinical Documentation Integrity (CDI), Denials Management, Appeals Management, Peer-to-Peer Reviews, Revenue Cycle, Case Management, Care Management, Hospital Medicine, Internal Medicine, Family Medicine, Emergency Medicine, Physician Leadership, Healthcare Quality, CMS Regulations, InterQual, MCG, DRG, Hospital Operations, Medical Staff Engagement, Healthcare Compliance, Value-Based Care, Clinical Excellence, Physician Engagement, Virginia Beach, Virginia, Sentara Health, Hospital Leadership, Clinical Operations, Healthcare Administration. As a recognized accredited Primary Stroke Center, and Magnet hospital for nursing excellence, the hospital specializes in orthopedic and spine, heart and vascular, advanced imaging, gynecological and comprehensive breast services, behavioral health, maternity, weight loss surgery, and a heartburn treatment center.

Sentara Hospitals

Physician Advisor - Sentara Obici Hospital

Demonstrates a willingness to maintain awareness of the business of medicine and changes in coding and billing in a health care setting including, but not limited to, Value Based Medicine, Readmission Reduction Programs, provider updates and the business of medicine directly impacting physician practices that may include updates from CMS that may impact billing, documentation and coding. Reminds physician on the progress of lab, X-ray, or other patient evaluation data and transcribing the results into patient charts so that a patient's workup is complete and the physician can make sound treatment decisions.

HOUR

Carilion Clinic

SCRIBE

Qualifications Position Requirements: High school diploma or equivalent Professional coding certification (CCA, CCS, CCS-P, CPC, RHIT, RHIA (One required)) IP DRG experience 1-3 years coding experience, 3-5 years (preferred) Strong Microsoft Office skills (Excel, Word, Outlook) An understanding of anatomy, physiology, pharmacology, microbiology and medical terminology is required. Responsibilities Atlantic Region CBO: The Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals.

University Health Services Inc

Inpatient Coder

Designs, implements, and administers compensation programs, including salary structure adjustments, merit and incentive pay, designing, implementing communication strategies and ensuring compliance with regulatory guidelines, and other aspects of the compensation program. Collaborates with the business groups and Human Resources to ensure strong change management in support of compensation-related policy and procedure rollouts and/or updates.

Bellatrix HRM

Director of Compensation

Join Deloitte's AI & Engineering practice to support hospital denials management to deliver back-end Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. Review hospital account records and payer remittance records, communicate with relevant Client RCM and internal hospital stakeholders, and conduct outreach to payers through payer portals and phone calls to gather necessary information to understand denial reasons and root causes.

YEAR

Deloitte

Epic Denials Management Operator

ea_via_bold

Epic Denials Management Coordinator

OTHER

Essential Job Duties: The incumbent will be responsible for working daily task s generated within any/all of the departments receivables management computer systems including assigned pre billing edit rejected claims and unpaid denied claims through identifying, documenting and following up on problematic issues that prevented the successful and timely transmission of accurate/clean claims by a third party support partner as well as following up on denied claims by governmental and other third-party payers as assigned in the work queue. Job Summary: As a designated Accounts Receivables Specialist in Patient Financial Services, the incumbent will provide organizational support for the hospital and/or medical group in the patient accounting role through clean and accurate billing and collection activity to ensure prompt account resolution and cash flow optimization on hospital and/or physician accounts receivables management.

Augusta Health

Patient Financial Services Account Specialist (Accounts Receivable)

Betterteam

FULL_TIME

The scope of work includes data validation, measure specification review, audit preparation, and ongoing monitoring of data quality to support organizational performance improvement and regulatory readiness. The analyst collaborates with clinical, operational, and IT teams to identify data discrepancies, ensure compliance with reporting specifications, and support performance improvement initiatives through reliable data insights.

VHC Health

Clinical Performance Improvement Analyst

[AW]-iCims

Purpose & Scope: The Clinical Performance Improvement Analyst supports the hospital's Quality Department by ensuring the accuracy, completeness, and integrity of data used for internal and external quality reporting. The scope of work includes data validation, measure specification review, audit preparation, and ongoing monitoring of data quality to support organizational performance improvement and regulatory readiness.

Virginia Hospital Center

ADAPTED_NOW

This is a strong opportunity for a cost engineer, project controls engineer, contract administrator or construction accountant with contractor side experience who wants a seat that reports straight to the president and actually shapes how the jobs make money. You'll review and code invoices, own cost reporting, review contracts before they go out and write change orders on DOT roadway and utility projects across the Mid-Atlantic.

Gables Search Group headquartered in Cleveland, Ohio has been a leader in search and placement nationwide since 2002.  Our company specializes in both direct and contract (temporary) staffing in all industries and disciplines.
At Gables Search Group, we connect exceptional professionals with outstanding organizations.  Our commitment to integrity, excellence, partnership, innovation, and respect sets us apart. With a personalized approach to recruitment, we ensure the perfect match between candidates and employers.
Whether you are a talented professional seeking new opportunities or an organization looking to build a high-performing team, Gables Search Group is here to guide you through the journey. Our success is built on the success of our clients and candidates, and we are dedicated to making a positive impact on the careers and businesses we serve.

Gables Search Group

Cost Engineer, Heavy Civil / Highway

Gables Search Group - Career Site

The Medicare Pricing Procedures Analyst also researches and responds to interdepartmental requests, reviews Medicare pricing guidance, supports system testing and validation, maintains internal documentation, and assists the Technical Claims team with projects that improve the accuracy and efficiency of Medicare pricing operations. This role supports the implementation and validation of CMS pricing updates, maintains pricing information within Medicare systems, and collaborates with CMS, Shared System Maintainers, and other Medicare Administrative Contractors (MACs) to ensure accurate and timely claims payment.

Wisconsin Physicians Service Insurance Corp

Medicare Pricing Analyst

Patient-centered clinical care—inclusive of initial exams, re-exams, chiropractic adjustment/manipulation, attended and unattended modalities, soft tissue therapy (Graston/ART/Myofascial Release/FAKTR/Kinesiology Taping), Funhab®/Rehab exercise, radiology services, implementation of HEP, and more. With the unique combination of evidence-based chiropractic care, personalized rehabilitation exercises and the latest technology, we’ve helped more than 100,000 people in the Washington, DC region live pain free, healthy lives.

Kaizo Health

Chiropractor

Housing Program Financial Stability Functions: In addition to organization-wide finance duties, this role retains responsibility for the day-to-day financial functions FACETS' housing programs: In coordination with program managers, oversee the financial aspects of multiple permanent supportive housing programs, ensuring rents, security deposits, utilities, and hotel vouchers are paid accurately and on time. Director of Business Management, this role manages organization-wide credit card administration and reconciliation, bank and merchant deposit reconciliation, expense and budget monitoring, and the financial-stability functions for participants in FACETS' housing programs — including rent, utility, hotel, and lease administration for housing programs.

Facets

Business & Finance Manager

Valuing Our Team Members: By prioritizing team member satisfaction, we create a fulfilling work environment with competitive benefits, work-life balance, and recognition programs, ensuring our team feels appreciated and valued. Assists with training of new clinical staff team members on EMR and home healthexpectations and visits, as well as, performing new clinician and annual competencies, and staff education.

Goodwin Living

Home Health Clinical Nurse Manager

partner Hirebridge

Other: • Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. • Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.

Fresenius Medical Care North America is a wholly owned subsidiary of Fresenius Medical Care AG & Co. KGaA, located in Bad Homburg, Germany. Through our dialysis services entity, Fresenius Medical Services, we operate more than 2,100 outpatient dialysis clinics in the U.S. Our Renal Therapies Group is responsible for the manufacture and distribution of a variety of dialysis products and equipment, including dialysis machines, dialyzers and other dialysis-related supplies. 

Fresenius Medical Care

Dialysis Clinical Manager Registered Nurse - RN

Complete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS established regulatory timeframes, History & Physical/Initial Comprehensive visits, Problem-focused Symptom Management visits, Admission visits, Goals of Care discussions, and routine follow up visits. Our nationwide reach is powered by a family of trusted brands that include: Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon.

Gentiva Hospice

Hospice Nurse Practitioner

Analyzes coding related to 1) ensuring work queues are worked timely and accurately and reporting concerns to department managers, and/or Director, 2) identifying trends, 3) conducting root cause analysis of trends, and 4) developing action plans for corrective action. Independently conducts Medical Record audits following official coding guidelines and interprets and applies Federal and State regulations, coding and billing requirements for Baseline, Annual, Post Education and Focused provider chart reviews.

Riverside Hospital

Compliance Analyst RMG

Complete all visit types for patients on services, including Medicare-required hospice Face-to-Face (F2F) visits within CMS established regulatory timeframes, History & Physical/Initial Comprehensive visits, Problem-focused Symptom Management visits, Admission visits, Goals of Care discussions, and routine follow up visits. The Nurse Practitioner will deliver advanced clinical care, perform patient management visits and hospice Face-to-Face (F2F) encounters for eligibility certification and recertification, and partner closely with physicians and interdisciplinary teams to ensure high-quality, compliant, and compassionate care.

Gentiva

IRecruitee

Gentiva Health Services Inc (Inactive)

Form includes: project number structure, funding setup, revenue and billing formula setup, project ceilings, labor categories, billing rates, rate sequence, project workforce, etc. If you are an individual with a disability, or have known limitations related to pregnancy, childbirth, or related medical conditions, and would like to request a reasonable accommodation for any part of the employment process, please contact us at job-assist@akima.com or 571-353-7053 (information about job applications status is not available at this contact information).

Medical Billing And Coding Jobs in Virginia

Physician Advisor - Sentara Obici Hospital Sentara Hospitals

SCRIBE Carilion Clinic

Inpatient Coder University Health Services Inc

Director of Compensation Bellatrix HRM

Epic Denials Management Operator Deloitte

Epic Denials Management Coordinator Deloitte

Patient Financial Services Account Specialist (Accounts Receivable) Augusta Health

Clinical Performance Improvement Analyst VHC Health

Clinical Performance Improvement Analyst Virginia Hospital Center

Cost Engineer, Heavy Civil / Highway Gables Search Group

Medicare Pricing Analyst Wisconsin Physicians Service Insurance Corp

Chiropractor Kaizo Health

Business & Finance Manager Facets

Home Health Clinical Nurse Manager Goodwin Living

Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical Care

Hospice Nurse Practitioner Gentiva Hospice

Compliance Analyst RMG Riverside Hospital

Hospice Nurse Practitioner Gentiva

Hospice Nurse Practitioner Gentiva Health Services Inc (Inactive)

Project Control Analyst IV NANA Regional Corporation Inc

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