Coding jobs in Richmond, Virginia - Page 2Create job alerts

A company is looking for a Physician Coding Denials Specialist. Key Responsibilities Review and appeal coding denials for professional service claims related to Evaluation and Management coding Analyze trends in payer denials and provide feedback to improve clinical documentation Maintain communication with providers and practices to facilitate the denial and appeals process Required Qualifications High school diploma or equivalent required 5 years of experience with certification within 90 days of employment Minimum 2 years of Healthcare Account Resolution or Physician billing experience required Technical skills including Microsoft Office and EMR systems (Epic) required Knowledge of medical terminology, ICD-10, and E/M coding required

A company is looking for a Team Lead, Claims. Key Responsibilities Manage a team of 12-15 claims examiners and adjusters Ensure compliance with client-specified guidelines and monitor productivity targets Collaborate on special projects, including process documentation and quality audits Required Qualifications 5+ years of healthcare claims processing experience Solid understanding of claims team leadership Experience with Microsoft applications, particularly Excel Knowledge of ICD-10, CPT, HCPCS coding, and medical terminology Willingness to learn new skills and collaborate with the team

A company is looking for a Healthcare Customer Service Representative (GA) to provide exceptional customer service in a remote setting. Key Responsibilities Handle inbound and outbound calls to resolve billing and insurance inquiries Assist customers with payment options and facilitate payment processing Maintain accurate account documentation and adhere to company policies Required Qualifications, Training, and Education High School Diploma or equivalent (GED) required Prior work experience in a call center and healthcare customer service setting preferred Familiarity with medical billing and coding preferred Experience with healthcare applications such as Artiva, Cerner Soarian, or EPIC is a plus Ability to manage sensitive personal information and maintain confidentiality

A company is looking for a Provider Relations Coordinator to join their team. Key Responsibilities Initiate outreach to providers and track their responses Collaborate with the enrollment team to ensure accurate completion of enrollment documents Handle provider inquiries and issues during the enrollment process Required Qualifications High school diploma or equivalent (bachelor's degree preferred) 2+ years of provider-facing experience in healthcare Working knowledge of medical coding and claims fundamentals Basic familiarity with Medicare/Medicaid payment rules Proficiency with Microsoft Office and accurate data entry

A company is looking for a Coder II to perform coding tasks related to medical records. Key Responsibilities Utilize computer applications to complete the coding process efficiently Review and sequence codes to maximize reimbursement and resolve coding edits and denials Identify incomplete documentation and formulate physician queries for clarification Required Qualifications High school graduate or equivalent Graduate of an approved certified coding program preferred Proficient computer skills, with MS Excel knowledge preferred In lieu of 2 years of coding experience, a minimum of 3 years experience or CPC certification is required Eligible for CPC or CPC specialty certification

A company is looking for a Senior Frontend Developer (React). Key Responsibilities Develop new user-facing features and reusable components for web applications Ensure technical feasibility of UI/UX designs, optimize applications, and maintain coding standards Collaborate with design and backend teams, participate in code reviews, and manage automated testing processes Required Qualifications 5+ years of experience in JavaScript and core concepts 5+ years of experience in TypeScript 5+ years of experience with React and Single-Page Applications (SPA) Strong experience with visual regression tools such as Cypress, Playwright, or Storybook Experience with modern CSS/SCSS/Less/CSS-in-JS development

A company is looking for a Senior C# Software Engineer. Key Responsibilities Contribute to full stack development of cloud-hosted and on-premises applications Engage in all aspects of the software development lifecycle, promoting secure development practices Provide mentorship and guidance to junior team members and peers Required Qualifications Bachelor's or higher degree in Computer Science, Software Engineering, or a related field, or relevant experience 5+ years of professional experience as a software engineer, focusing on C#, .NET Core, MS SQL, and web application technologies Experience with Angular/Typescript and working with microservice ecosystems Proficiency in developing and hosting SaaS and/or cloud-based applications Familiarity with secure coding standards and OWASP Top 10 vulnerabilities

A company is looking for a Software Engineer III specializing in Roku development. Key Responsibilities: Develop and maintain high-performance Roku applications using BrightScript and SceneGraph Collaborate with cross-functional teams to deliver solutions that meet business goals Participate in code reviews and adhere to best practices in coding standards Qualifications: 4-6 years of professional software development experience, with a focus on Roku development Demonstrated ability to lead technical projects and make architectural decisions Experience mentoring junior developers and contributing to team skill development Bachelor's or Master's degree in Computer Science, Engineering, or a related field, or equivalent experience Strong ability to work with remote teams and manage dependencies across multiple stakeholders

A company is looking for a Director, Payer Policy who wants to continue to learn in order to allow the company to grow. Key Responsibilities Develop and execute a multi-year payer strategy to secure broad coverage for the oncology diagnostic portfolio Lead payer policy engagement, including outreach, policy reviews, and coverage advocacy Build and maintain strategic relationships with payer medical directors and reimbursement teams Required Qualifications, Training, and Education Bachelor's degree in Business, Health Policy, Science, or related field required Advanced degree (MBA, MPH, MHA, MS, PharmD, PhD) preferred 10 years of experience in payer relations, market access, reimbursement, or managed care leadership Deep expertise in payer policy, coding, coverage frameworks, and reimbursement economics Strong understanding of oncology testing and precision medicine

A company is looking for a Software Development Manager - GoLang. Key Responsibilities Lead and mentor software development teams in designing and developing Golang-based applications and services Establish engineering standards, coding best practices, and promote clean code principles across Go-based systems Collaborate with cross-functional teams to plan, design, build, test, and deploy Go applications and microservices Required Qualifications Bachelor's degree in Computer Science or a related technical discipline, or equivalent work experience 6 years of experience in Software Development with progressively elevated roles 2 years of people management experience in a technical field Experience with one or multiple programming languages, preferably Go/Golang Experience with agile development methodologies and CI/CD processes

A company is looking for a Clinical Manager, Virtual Care. Key Responsibilities Oversee provider performance, documentation quality, and risk adjustment accuracy Guide training, coaching, and development of Nurse Practitioners Collaborate cross-functionally to refine workflows and improve operational success Required Qualifications Board Certified Nurse Practitioner Active and unrestricted Nurse Practitioner License (multi-state or compact state preferred) 5-7 years of clinical NP experience, with at least 2 years in direct people leadership Strong knowledge of HCC coding, risk adjustment, and MEAT documentation standards Experience overseeing documentation quality through audits and reviews

A company is looking for a Revenue Cycle Specialist II, fully remote. Key Responsibilities Perform accurate and timely submission of claims follow-up, reconsiderations, appeals, and response to denials Research and resolve issues related to posting payments, insurance denials, and non-payment of claims Document collection activities and maintain productivity and quality standards while participating in training and meetings Required Qualifications High school diploma Two (2)+ years of experience in hospital or physician insurance-related activities (Billing & Follow-Up) Knowledge of revenue and ICD 10 coding practices

A company is looking for a Senior Manager of Compliance and Regulatory (fully remote). Key Responsibilities Maintain close relationships with existing accounts Project Management of multiple projects simultaneously Coordinates with Company departments to optimize client satisfaction and resolve issues Qualifications Currently Licensed as a Registered Nurse Coding (HCS-D or BCHH-C) and OASIS (COQS, COSC, or HCS-O) is recommended EMR knowledge within home health and hospice industry QA/Auditing experience Knowledge of home health and hospice regulation and compliance

A company is looking for a Navision ERP Developer for a 12+ month contract position. Key Responsibilities: Hands-on coding and development within Microsoft Dynamics Navision (NAV) environment Database tuning, index tuning, and SQL performance optimization Integration work with EDI for major omni-channel vendors Required Qualifications: Strong technical and functional understanding of Microsoft Navision (NAV) Proficient in Navision-specific coding language Experience with EDI transactions and Lanham bolt-on for Navision

A company is looking for a Manager, Coding. Key Responsibilities Manage department operations to meet KPIs, ensuring workflow efficiency and coding accuracy Coordinate billing and coding activities with Revenue Cycle representatives and provide internal consulting on new initiatives Develop and support Coding Supervisors while managing staffing and conducting evaluations Required Qualifications High School diploma or GED required CCS certification from AHIMA or equivalent coding certification required Minimum of 7 years coding experience, with at least 3 years in a large acute care network Minimum of 1 year of progressive leadership experience Experience with multi-facility coding operations and vendor management preferred

A company is looking for a Clinical Documentation Specialist. Key Responsibilities Improve the quality and completeness of clinical documentation in the legal medical record Facilitate documentation through interaction with physicians, HIM, and coding staff for optimal reimbursement Educate physicians on clinical documentation needs and coding opportunities Required Qualifications Must possess a CCDS or CDIP credential Must have at least one of the following: RN license, RHIA, RHIT, or CCS credential 3+ years of Acute Care (inpatient) Clinical Documentation Specialist experience

Job Description Summary STEM Teacher Kids Academy of Learning Excellence, powered by CORE 📍 601 Southlake Blvd, North Chesterfield, VA 23236 Employment Type:W-2 Hourly Pay:Based on experience Kids Academy of Learning Excellence (KALE), powered by the CORE Foundation, is seeking aSTEM Teacher to join our innovative early learning team. KALE is a next-generation learning environment that blendsstrong academic foundationswithSTE(AI)M™ education, robotics, literacy, and character development. This role is ideal for an educator who is excited about hands-on learning, future-ready skills, and inspiring young children through science, technology, engineering, arts, mathematics, and age-appropriate artificial intelligence concepts. Duties • Deliver engagingSTE(AI)M™ instruction, including robotics, coding, and interactive technology, • Foster curiosity, creativity, collaboration, and critical thinking, • Use educational technology tools (robotics kits, coding platforms, introductory AI tools), • Create a warm, safe, and structured classroom environment, • Build positive relationships with children, families, and colleagues, • Maintain classroom cleanliness, safety, and organization, • Collaborate with teaching staff on curriculum planning and continuous improvement, • Document and assess student progress in alignment with school and state standards, • Participate in required professional development and KALE-sponsored training, • Model CORE Foundation values, including inclusion, resilience, and service Requirements • Must be18 years or older, • High school diploma or GED required, • Must meetVirginia Department of Education (VDOE) requirements for licensed center lead teachers, including required coursework and training, • CurrentCPR and First Aid certification, • Completion of allVDOE-mandated trainings, including:, • Safe Sleep / SIDS Prevention, • Mandated Reporter Training, • Successful completion ofcriminal background checks, CPS checks, and sex offender registry checks, • Ability to lift and move up to40 lbs.and actively support classroom/lab activities, • Strong communication, professionalism, reliability, and teamwork skills Nice To Haves • Experience teachingSTEM, robotics, coding, or AIin an educational setting, • Associate degree or higher in Early Childhood Education, Child Development, or a related field, • Experience working in diverse and inclusive classrooms, • Bilingual or multilingual abilities Benefits • Competitive hourly pay based on experience, • W-2 employee status (not contractor), • Paid onboarding and orientation to KALE policies and innovation tools, • Ongoing professional development inSTE(AI)M™ and AI-integrated education, • Supportive, mission-driven, nonprofit-powered team environment, • Opportunity to make a meaningful impact on children, families, and the community

Job DescriptionSalary: $110,000 - $130,000 POSITION SUMMARY A Job Superintendent could oversee and perform tasks in multiple job sites, simultaneously, and manage the manpower sometimes with the assistance of a Foreman. The Job Superintendent must always ensure a safe and efficient workplace. This position is responsible for the coordination of tasks for their employees according to current project needs, produce schedules for team members, and supervise the use of machinery. ESSENTIAL DUTIES AND RESPONSIBILITIES • Coordinate with General Superintendent/Field Superintendent and/or Project Manager to schedule job tasks and equipment., • Coordinate daily tasks and schedules with the Foreman according to priorities and plans, adjusting as necessary due to weather, supply delivery, and personnel., • Continually provide updates to the Field Superintendent and Canyon Management on project status and communicate any needs at the job site., • Must review and comprehend project proposals, scope of work, job schedule and Canyon durations throughout the project, submittals, and continually review all drawings including all RFIs/ASIs and all shop drawings., • Responsible to review both Surveyors layout and Canyons layout to ensure consistency and identify any potential problems., • Required to write and submit at the jobsite a Daily Report summarizing the days activities and must submit a daily report in the Canyon internal system with the same information., • Develop and present a two week look ahead for the project at the weekly internal scheduling meeting., • Responsible to place concrete/stone orders to vendors for each job task., • Responsible for ordering slab packages and miscellaneous material orders through Canyon website as necessary., • Responsible to submit paperwork for all material delivery tickets w/cost coding on a daily., • Responsible for having truck maintenance up to date (at Canyons shop) and maintaining tool inventory and upkeep (repaired/maintenance by Canyon or others)., • Ensure weekly safety toolbox talks are held with emphasis on worksite safety and safe use of tools, machinery, and equipment., • Ensure that daily huddles are held each day to include stretch and flex, hazard analysis, daily work assignments and equipment checklists are reviewed., • Required to attend jobsite Foreman meetings prepared to provide input for scheduling and coordination of other trades and be prepared to make timely decisions for jobsite progress., • Develop and oversee safety/ quality standards on the job site., • Perform pre-pour checklist on the job site., • Resolve problems with projects, materials, and employees as they arise., • Resolve conflicts or miscommunication that may happen on-site quickly and amicably., • Attend monthly job production meetings w/General Superintendent/Field Superintendent and PM to review progress of job., • Build and develop trusting relationships with current customers and seek to identify opportunities to grow our customer base and build positive relationships., • Performs other related duties as EDUCATION AND/OR EXPERIENCE • 7+ years' experience in the concrete construction industry., • Prior experience managing 7 or more employees on a job site., • Ability to read drawings, plans, and blueprints and convey this information to others., • Excellent written and oral communication skills., • Excellent organizational and leadership skills., • Strong problem-solving abilities., • OSHA 30-hour certification preferred., • CPR required., • Bilingual English/Spanish is a PLUS PHYSICAL DEMANDS AND WORK ENVIRONMENTAL FACTORS (The factors described here are representative of those physical demands that must be met by an employee to successfully perform the essential functions of this job. The environmental factors described are representative of those encountered while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Additional factors, if applicable, must be specified.) While performing the duties of this job, the employee is regularly required to use hands to handle or feel; reach with hands and arms; and talk and hear. Must be able to stand, bend, climb and kneel for prolonged periods of time. The employee must occasionally lift and/or move up to 50 pounds. Must be able to work safely in a variety of weather conditions and terrains. Position will require that employee have manual dexterity, good sense of balance and excellent hand-eye coordination. The employee is frequently exposed to fumes or airborne particles, moving mechanical parts and vibration. The employee is occasionally exposed to a variety of extreme conditions at construction job sites.

Role Overview** Mercor is seeking Office.JavaScript experts to support a cutting-edge training initiative with a leading AI lab.This project focuses on enhancing AI agents’ capabilities within Microsoft Excel by refining code-based interactions.Experts will help validate and correct Office.This is

[Accounting & Finance Support / Remote] - Anywhere in U.S. / Up to $21 per hour - As an Accounts Payable Clerk at ACAMS, you will: Manage and process all incoming invoices in a timely and accurate manner; Communicate with vendors to resolve any discrepancies or issues with invoices; Reconcile accounts payable transactions and maintain accurate records; Prepare and process electronic payments for vendors; Monitor and track outstanding payments and follow up with vendors as needed; Collaborate with other departments to ensure proper coding and approval of invoices...Hiring Immediately >>

Anticipated End Date: 2026-01-30 Position Title: Nurse Auditor Senior - Payment Integrity Complex and Clinical Audit Job Description: Nurse Auditor Senior - Payment Integrity Complex and Clinical Audit Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. * Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Nurse Audit Senior will be responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record review. How you will make an impact: * Investigates potential fraud and over-utilization by performing medical reviews via prepayment claims review and post payment auditing * Correlates review findings with appropriate actions (provider education, recovery of monies, cost avoidance, recommending sanctions or other actions) * Assists with development of audit tools, policies and procedures and educational materials * Acts as liaison with service operations as well as other areas of the company relative to claims reviews and their status * Analyzes and trends performance data, and works with service operations to improve processes and compliance * Notifies areas of identified problems or providers, recommending modifications to medical policy and on line policy edits Minimum Requirements: * Requires AS in nursing and minimum of 4 years of clinical nursing experience; or any combination of education and experience, which would provide an equivalent background. * Current unrestricted RN license in applicable state(s) required. Preferred Skills, Capabilities, and Experiences: * Knowledge of auditing, accounting and control principles and a working knowledge of CPT/HCPCS and ICD 9 coding and medical policy guidelines strongly preferred * BA/BS preferred * Medical claims review with prior health care fraud audit/investigation experience preferred * Knowledge of Provider Manuals and Reimbursement policies is preferred Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: MED > Licensed Nurse Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Prepare the final reports for the coding audit and actively participates in the resolution of audit findings. Provide coder education through the auditing process. Meet with client facility representatives to discuss issues and trends identified in audits.

Mendix - the leading low-code application development platform: The Mendix Platform uses visual modeling to abstract long-form coding out of application development.Our customers use Mendix to create and deploy better software for the enterprise, faster.Mendix enables collaboration between business

A leading technology company is seeking a Software Engineer to join its engineering team.This role involves driving technical direction, developing scalable classifiers using machine learning, and mentoring engineers.The ideal candidate will have over 12 years of coding experience and strong knowled

ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Coding references will be used to ensure accurate coding and grouping of classification assignment (e. Sound knowledge of ICD-10 diagno

CIS, lead, manager, international log) * Periodically works with their Manager to review individual work accomplishments, discuss work problems/barriers, discuss progress in mastering tasks and work processes, and discusses individual training needs and career progression * Adheres to all applicable

Seeking Inpatient Auditor proficient in MS-DRG and APR-DRG***. Performs Inpatient Facility coding audits according to scope of work, for the purpose of Onboarding, Focused, Service Level Agreements or Other Types of reviews, using appropriate assignment of codes and other coding-related elem

ICD-10CM and ICD-10-PCS to include: * Diagnosis description with appropriate 3-7 digit code assignment with corresponding Present On Admission (POA) * Procedure description with appropriate 7 digit ICD-10-PCS code, date and surgeon * Admitting Diagnosis * Discharge disposition * Where applicable, co

Job Description Accounting Clerk / Data Entry Location: Richmond, VA (Onsite) Start: ASAP Duration: 90-Day Contract with Potential to Convert A growing and exciting company in Richmond, VA is seeking an Accounting Clerk / Data Entry professional to join their team immediately. This is a fantastic resume-building opportunity for accounting professionals looking to gain hands-on experience, work in a fast-paced environment, and grow their career with a company that values development and internal advancement. What You’ll Do: • Perform high-volume data entry with accuracy and attention to detail, • Assist with accounts payable and/or accounts receivable processing, • Review invoices for proper documentation and coding, • Enter financial data into accounting systems and spreadsheets, • Support the accounting team with administrative and clerical tasks, • Help maintain organized and accurate financial records What We’re Looking For: • Strong attention to detail and accuracy, • Comfortable working with numbers and financial data, • Proficiency with Microsoft Excel and basic accounting systems, • Ability to work independently and meet deadlines, • Desire to learn and grow within an accounting environment Why This Role? • Immediate start with real, hands-on accounting experience, • 90-day contract with strong potential for permanent conversion, • Exposure to accounting processes that strengthen your resume, • Supportive team environment with opportunities to learn from experienced professionals, • Ideal for early-career accounting professionals or recent graduates