Code Specialist III
Medical coder job in Fairfax, VA
Salary $83,009.89 - $138,349.74 Annually Job Type FT Salary W BN Job Number 25-02029 Department DPWES Wastewater Management Opening Date 11/08/2025 Closing Date 12/5/2025 11:59 PM Eastern Pay Grade S28 Posting Type Open to General Public * Description * Benefits
* Questions
Job Announcement
Join Fairfax County and make a real difference! As a part The Department of Public Works and Environmental Services (DPWES), Wastewater Management (WWM) supports the mission and vision to create and preserve a sustainable community to protect the environment and public health of residents of Fairfax County.
The Wastewater Planning & Monitoring Division (WPMD) seeks a senior-level regulatory code specialist to lead elements of its industrial waste pretreatment program, a state and federally mandated regulatory program. This position provides expert programmatic and technical leadership to support continuous improvement of the pretreatment program to protect the publicly owned treatment works (POTW) and the environment. Duties of this position are performed under the general supervision of the pretreatment manager and include:
* Program Supervision and Leadership: Oversees the execution of the county's state-approved pretreatment program, including permitting, monitoring, inspections, compliance assessments, and enforcement. Manages specialized initiatives like fats, oils, and grease (FOG) management, hauled wastewater disposal, reclaimed water inspections, water quality monitoring, and illicit discharge investigations.
* Technical Expertise and Stakeholder Collaboration: Serves as a technical expert on pretreatment regulations, policies, and compliance, while providing guidance to stakeholders and coordinating cross-agency initiatives. Supervises, mentors and trains code specialists and interns.
* Compliance and Enforcement: Ensures adherence to state, federal, and local regulations through inspections, monitoring, legal enforcement, and compliance education. Supports enforcement actions and develops compliance strategies, policies, and cost recovery mechanisms.
* Data and Program Administration: Manages cost recovery processes and monitor program performance data to optimize pretreatment program services and identify improvements. Develops fees and surcharges aligned with wastewater characteristics and county codes.
* Safety Leadership and Emergency Preparedness: Promotes and adheres to workplace safety guidelines, while training staff on safety procedures and compliance with regulations. Acts as essential personnel during emergencies, ensuring uninterrupted sewer services. Leads emergency field responses and provide emergency operations training.
The ideal candidate will possess:
* The ability to lead teams performing diverse technical and regulatory tasks.
* Strong oral and written communication skills.
* Strong attention to detail.
* The willingness to perform sampling and analyses in outdoor and laboratory settings of wastewater and related matrices.
* Ability to create and maintain positive relationships with diverse stakeholders
Wastewater Management is part of the Department of Public Works and Environmental Services (DPWES), please visit us here to learn more about us.
DPWES is a diverse, nationally accredited and award-winning public works agency with approximately 1,000 employees providing solid waste, capital facility development, wastewater, stormwater, urban forestry, and land acquisition management services for the most populous county in Virginia. Join our team to help us protect the environment and serve the people of Fairfax County by creating and preserving a sustainable community that is an ideal place to live, work, and play for everyone.
Benefits:
Fairfax County Government is committed to our employees, and offers comprehensive benefits, including a defined-benefit retirement plan; medical, life and disability insurance; paid leave; tuition reimbursement; and reasonable accommodations for individuals with disabilities. Through our LiveWell Program and the County Benefits Division, we endeavor to cultivate a culture of wellbeing that empowers, educates, and engages employees and retirees to make life-long choices that promote a holistic approach to their physical, mental, emotional, social, spiritual, and financial wellness. Please review our awesome benefits:
* Benefits
* Retirement
Note: Wastewater Management positions are responsible for providing uninterrupted sewer service to residents during extreme inclement weather or other emergencies. This position is designated as emergency service and is subject to 24-hour on-call and may be required to report to work during extreme inclement weather or other emergencies, including after-hours and weekend work during emergency incidents to fulfill emergency service duties.
Employment Standards
MINIMUM QUALIFICATIONS:
Any combination of education, experience, and training equivalent to the following:
(Click on the aforementioned link to learn how Fairfax County interprets equivalencies for "Any combination, experience, and training equivalent to") Graduation from an accredited four year college or university with a bachelor's degree in a field of study directly related to the industry being regulated such as engineering, architecture, urban planning, biological or environmental science, public administration, law enforcement, legal studies or a related field; plus four years of progressively more responsible complaint resolution and/or code enforcement experience in the industry being regulated.
CERTIFICATES AND LICENSES REQUIRED:
Valid driver's license.
NECESSARY SPECIAL REQUIREMENTS:
The appointee to this position will be required to complete a criminal background check, driving record check, and a medical examination to the satisfaction of the employer prior to appointment.
PREFERRED QUALIFICATIONS:
Three or more years' experience in each of the following:
* Applying pretreatment program regulations including Fairfax County Code Chapter 67.1 and relevant state and federal regulations.
* Wastewater monitoring, compliance assessment, and enforcement of pretreatment regulations.
* Supervising and leading regulatory programs and projects relevant to wastewater management or pretreatment.
* Communicating technical, and occasionally controversial, information to diverse stakeholder groups both orally and in writing.
* Identifying, proposing, and executing initiatives to improve program performance.
* Using spreadsheets, databases, geographical information systems (GIS), or similar programs, to inform data-driven decision making relevant to wastewater management or pretreatment.
PHYSICAL REQUIREMENTS:
Ability to communicate clearly, both verbally and in written form, is crucial for engaging with colleagues and customers through phone calls, video conferences, and face-to-face meetings. Ability to lift/ slide up to 60 lbs. with assistance. Must be able to operate keyboard driven equipment and use other automated technology to input, access and retrieve information from a laptop or desktop. Visual acuity is required to read data on computer monitors such as GIS maps. Must be able to physically negotiate rough terrain on uneven ground such as hills, wooded and marshy areas to make direct observation of work in progress including recognizing unforeseen hazards such as sharp objects, warning signs, slippery surfaces, steep depressions, tripping hazards. Must be able to push, pull, lift, bend, stoop, walk, climb/crouch, crawl, stand and reach to work in demanding and uncomfortable positions for extended durations. This is necessary to manipulate materials with manual dexterity, including sampling apparatuses and instrumentation. Must be able to recognize and avoid hazards associated with confined spaces. Must be physically fit to perform in all types of environments. This requires the ability to endure variable and extreme weather conditions such as hot, cold, during rain, noisy environments, etc., and the ability to work around and in contact with raw sewage. Visual acuity is required to effectively work on computer monitors, review documents, and read text and data for prolonged durations. The incumbent must possess the ability to operate keyboard-driven devices to input, access, and retrieve information from a computer. All duties performed with or without reasonable accommodations.
SELECTION PROCEDURE:
Panel interview and may include exercise.
Fairfax County is home to a highly diverse population, with a significant number of residents speaking languages other than English at home (including Spanish, Asian/Pacific Islander, Indo-European, and many others.) We encourage candidates who are bilingual in English and another language to apply for this opportunity.
Fairfax County Government prohibits discrimination on the basis of race, color, religion, national origin, sex, pregnancy, childbirth or related medical conditions, age, marital status, disability, sexual orientation, gender identity, genetics, political affiliation, or military status in the recruitment, selection, and hiring of its workforce.
Reasonable accommodations are available to persons with disabilities during application and/or interview processes per the Americans with Disabilities Act. TTY ************. ******************************* EEO/AA/TTY.
#LI-JT1
! Coder II
Medical coder job in Virginia
REQUIREMENTS\:
Post high school specialty or vocational training with a specialization in courses in medical terminology, anatomy and physiology, basic disease process, ICD-10-CM and CPT-4 or equivalent competency
Successful completion of a coding certificate program in a program with American Health Information Management Association approval status
Minimum of 3 years of acute hospital coding and abstracting experience required
Experience and/or education in ICD-10 CM/ ICD-10 Procedural Coding System (PCS) coding required
Certification or licensure as a:
Certified Coding Specialist (CCS) or must obtain CCS credential within 2 years (required)
or
Registered Health Information Administrator (RHIA) or
Registered Health Information Technician (RHIT) or
Certified Professional Coder-Hospital (CPC-H)
And must obtain the CCS credential within 2 years of employment or have equivalent acute care coding and abstracting experience. POSITION SUMMARY\: Under the direction of the Health Information Management Director, the coder II accurately determines ICD-10-CM diagnosis, and ICD-10-CM, CPT and HCPCS procedure codes for all patient types to include inpatient, observation, surgical day care, Emergency Department (ED) outpatient and recurring patients. POSITION RESPONSIBILITIES:
Abstract pertinent information from patient records within various inpatient and outpatient types. Assign International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) / International Classification of Diseases, Tenth Revision, Clinical Modification Procedural Coding System (ICD-10 PCS) codes or Healthcare Current Procedural Coding System (HCPCS) codes, creating ambulatory payment classification (APC) or diagnosis related group (DRG).
Monitor and manage the discharged not final billed (DNFB) accounts within assigned patient types daily to meet financial goals and expectations.
Meet coding productivity standards and accuracy rate determined by company policy. (See Coding Productivity and Quality Standards.)
Queries clinical staff to achieve accuracy in coding
Closely communicates with the clinical documentation specialist and advises on coding rules and guidelines and supports the clinical documentation improvement program.
Educate, train and communicate with medical staff regarding accurate documentation for the purposes of coding.
Keep abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to supervisor or department manager for resolution. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.
Abstracts data and reports to the Virginia Trauma Registry.
Participate in the appeals process for coding denials. Initiate and respond to requests for billing to support medical necessity, appropriateness of code assignment, combining accounts based on payer requirements and other activities to support the billing function.
Answer telephone and respond to requests in a professional, timely manner.
Maintain professional credentials through ongoing coding education as well as company requirements for annual continuing education.
Contributes to quality improvement activities of the department and the organization, including participating in internal department and corporate audits.
Participate in other department or organizational activities as requested.
KNOWLEDGE, SKILLS and ABILITIES:
Effective Oral and written communication skills
Demonstrated competence with personal computers, networks, and Microsoft Office.
Experience with various coding abstracting and coding systems
Ability to work independently or as a team member to accomplish tasks or projects
Ability to prioritize work assignments during periods of stress
Ability to sit for long periods of time
Corrected visual acuity for long periods of reviewing/reading medical records and viewing a computer monitor
Knowledge and skills to correctly assign principal diagnosis for inpatients and reason for visit/first listed diagnosis for outpatient encounters. Correctly assign additional diagnoses based on coding rules and guidelines
Critical thinking, time management, and organizational skills
AGES OF POPULATION SERVED:
Age Specific
Definition
Yes
No
Birth to One Year
Infant
2 - 3 Years
Toddler
4 - 5 Years
Pre-Schooler
6 - 11 years
School Age
12 - 17 years
Adolescent
18 - 30 years
Young Adult
31 - 64 years
Adult
65+
Geriatric
No responsibility to treat or care for patients
X
WORKING CONDITIONS:
Exposure to:
None
Some
Frequent
Toxic/caustic chemicals
X
Working outdoors
X
Dust/fumes/gases/helicopter
X
Moving mechanical parts
X
Blood or Body Fluids
X
Communicable Diseases
X
Potential electrical shock
X
X-ray electromagnetic energy
X
Needles or sharp objects
X
Frequent repetitive motions
X
Use/viewing of Computer monitor
X
Unprotected heights
X
Physically or verbally abusive patients
X
Hazards in patients' homes
X
Extreme heat or cold
X
50% of time spent traveling
X
Exposure to high pitched noises
X
Blood born pathogen exposure
X
Stressful Environment
X
PHYSICAL DEMANDS/LIFTING REQUIREMENTS: ( X ) Sedentary Work\: Lifting 10 lbs. maximum and occasionally lifting and/or carrying articles. ( ) Light Work\: Lifting 2 lbs. maximum with frequent lifting and/or carrying of objects weighing up to 10 lbs. ( ) Medium Work\: Lifting 50 lbs. maximum with frequent lifting and/or carrying of objects weighing up to 25 lbs. ( ) Heavy Work\: Lifting 100 lbs. maximum with frequent lifting and/or carrying of objects weighing up to 50 lbs. ( ) Very Heavy Work\: Lifting objects in excess of 100 lbs. with frequent lifting and/or carrying of objects weighing 50 lbs. or more. ( ) Ability to lift, push and pull with assistance of mechanical device or co-worker
Activity
Some
Frequent
Repeated Bending, Stooping, Kneeling, Crouching
X
Working in confined area
X
Ability to distinguish Colors
X
Standing/Walking > 25%
X
Standing/Walking > 50%
Standing/Walking > 75%
Manual hand/finger dexterity
X
Multi-tasking, ability to work with frequent interruptions
X
Hand/eye coordination
X
Sitting > 50%
X
Use of Computer >75%
X
Critical Thinking Skills
X
Reaching above shoulder level
X
Climbing on Ladder
Operating Motor Vehicle or motorized equipment
Auto-ApplyCombat Coder - Journeyman Full Stack Developer
Medical coder job in Hampton, VA
Leidos, a global technology leader, is seeking a **Combat Coder** for our Sentinel program, supporting the United States Air Force in geographically distributed intelligence operations. **Combat Coders** directly support mission objectives by integrating data sources and interfaces quickly while being embedded with the user base.
As a **Combat Coder** you will engage directly with our customers to build and modify all aspects of full-stack applications. Your contributions will move directly to production systems and get immediate feedback. You will be working with a small elite team of developers that focus on getting things done to support the mission.
Join Leidos in our mission to enhance global security and efficiency through technology and innovation. Be part of a team that champions Integrity, Inclusion, Innovation, Agility, Collaboration, and Commitment. If you're ready to drive critical software deliveries, apply now to join Leidos as a **Combat Coder** for the Sentinel program!
**About the Role:**
We're seeking a **Combat Coder** - a highly skilled, adaptable full stack developer who thrives in challenging, disconnected, and resource constrained environments. You'll be building and integrating mission critical systems using Python, Apache NiFi, and other modern tools, often without the luxury of constant connectivity. This is not a "sit behind a desk and push commits" role - it's for someone who loves solving hard problems in the field, under pressure, and with creativity.
**Why You'll Love This Role:**
+ You'll work on high impact projects where your code directly supports critical missions.
+ You'll be part of a tight knit, elite engineering team that values skill, creativity, and adaptability.
+ You'll face real technical challenges that push your abilities far beyond the ordinary
**Primary Responsibilities:**
+ Integrate systems and data flows using Python, NiFi, and other integration frameworks.
+ Engineer resilient solutions that can operate in austere, bandwidth limited, or air gapped conditions.
+ Collaborate with cross functional teams to rapidly prototype and deliver mission critical capabilities.
+ Troubleshoot and optimize code and workflows in real time, often with incomplete information.
+ Document and harden solutions for long term maintainability in the field.
**Basic Qualifications:**
+ Bachelors Degree with 4+ years of experience or a Masters Degree with 2+ years of experience. Additional experience maybe considered in lieu of a degree.
+ US Citizen with at least an active TS/SCI clearance and the ability to maintain your clearance during your employment with Leidos.
+ Proven full stack development experience.
+ Strong Python skills and experience with Apache NiFi or similar dataflow/integration tools.
+ Comfort working in disconnected or degraded network environments - you know how to make things work without cloud dependencies.
+ Solid understanding of APIs, data pipelines, and system integration patterns.
+ Creative problem solver who thrives on tackling complex, ambiguous challenges.
+ Self starter who can operate independently and deliver under tight deadlines.
+ Strong interpersonal and communication skills.
+ Understanding of source control such as Gitlab and others
**Preferred Qualifications:**
+ Experience using JEMA and ARC GIS
+ Experience with DevOps in air gapped environments.
+ Background in secure coding practices and cyber resilient architectures.
+ Prior work in mission critical, defense, or field operations.
If you're looking for comfort, keep scrolling. At Leidos, we outthink, outbuild, and outpace the status quo - because the mission demands it. We're not hiring followers. We're recruiting the ones who disrupt, provoke, and refuse to fail. Step 10 is ancient history. We're already at step 30 - and moving faster than anyone else dares.
**Original Posting:**
November 18, 2025
For U.S. Positions: While subject to change based on business needs, Leidos reasonably anticipates that this job requisition will remain open for at least 3 days with an anticipated close date of no earlier than 3 days after the original posting date as listed above.
**Pay Range:**
Pay Range $85,150.00 - $153,925.00
The Leidos pay range for this job level is a general guideline onlyand not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.
**About Leidos**
Leidos is an industry and technology leader serving government and commercial customers with smarter, more efficient digital and mission innovations. Headquartered in Reston, Virginia, with 47,000 global employees, Leidos reported annual revenues of approximately $16.7 billion for the fiscal year ended January 3, 2025. For more information, visit ************** .
**Pay and Benefits**
Pay and benefits are fundamental to any career decision. That's why we craft compensation packages that reflect the importance of the work we do for our customers. Employment benefits include competitive compensation, Health and Wellness programs, Income Protection, Paid Leave and Retirement. More details are available at **************/careers/pay-benefits .
**Securing Your Data**
Beware of fake employment opportunities using Leidos' name. Leidos will never ask you to provide payment-related information during any part of the employment application process (i.e., ask you for money), nor will Leidos ever advance money as part of the hiring process (i.e., send you a check or money order before doing any work). Further, Leidos will only communicate with you through emails that are generated by the Leidos.com automated system - never from free commercial services (e.g., Gmail, Yahoo, Hotmail) or via WhatsApp, Telegram, etc. If you received an email purporting to be from Leidos that asks for payment-related information or any other personal information (e.g., about you or your previous employer), and you are concerned about its legitimacy, please make us aware immediately by emailing us at ***************************** .
If you believe you are the victim of a scam, contact your local law enforcement and report the incident to the U.S. Federal Trade Commission (******************************* .
**Commitment to Non-Discrimination**
All qualified applicants will receive consideration for employment without regard to sex, race, ethnicity, age, national origin, citizenship, religion, physical or mental disability, medical condition, genetic information, pregnancy, family structure, marital status, ancestry, domestic partner status, sexual orientation, gender identity or expression, veteran or military status, or any other basis prohibited by law. Leidos will also consider for employment qualified applicants with criminal histories consistent with relevant laws.
\#Featuredjob
REQNUMBER: R-00170729
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. Leidos will consider qualified applicants with criminal histories for employment in accordance with relevant Laws. Leidos is an equal opportunity employer/disability/vet.
Easy ApplyCoding Specialist
Medical coder job in Norfolk, VA
Coding Specialist The Coding Specialist plays a critical role in ensuring accurate coding, compliance, and reimbursement for the Department of Surgery.
Primary Responsibilities: Coding & Reimbursement: Reviews provider documentation and assigns the most accurate ICD-10 and CPT codes at the highest level of specificity to ensure appropriate billing and maximize reimbursement from third-party payors.
Compliance & Education: Supports physician and staff education on EVMS Medical Group Compliance Guidelines, HCFA Teaching Physician Guidelines, and industry coding standards. Provides feedback based on results of chart audits.
Auditing & Documentation Review: Assists with internal departmental “mini-audits” to confirm that inpatient and outpatient medical records contain sufficient documentation to justify the type and frequency of billed services.
Revenue Integrity: Ensures charges are submitted accurately and compliantly, directly impacting the Department's ability to optimize revenue while minimizing risk.
Departmental Impact:
This position is essential to maintaining financial accuracy, compliance with federal and institutional guidelines, and safeguarding the Department's reimbursement streams. By bridging clinical documentation, compliance, and billing, the Coding Specialist helps protect the Department from compliance risk while strengthening overall revenue performance.
Responsibilities
ESSENTIAL DUTIES AND RESPONSIBILITIES
Conduct monthly provider and staff coding and compliance education classes as needed/requested.
Assist with recommendations on implementing procedures for compliance within the surgery setting.
Assist as needed to develop Surgery compliance, coding, and billing policies and procedures based on the EVMSMG Compliance Plan and the HCFA Teaching Physician Guidelines.Review and “work” monthly denials and Medical Group Spread sheets Process/key physician charges
Ongoing review of compliance, coding, and billing, literature and guidelines effecting academic medicine and surgery practice.
Performs internal quality assurance charge/chart audits in a timely and consistent manner on both outpatient/inpatient services and surgical services.
Researches and assign the appropriate CPT/ICD-10 code based on the physician's dictation, and other medical records to ensure that the most accurate combination of codes is used for each patient.
Audits and reviews the appropriateness of the CPT and ICD-10 coding selections, assuring that the appropriate link between the two coding procedures has occurred.
Functions as liaison between the physicians, the data entry staff and the Medical Group Billing Office to communicate and/or educated regarding the appropriate use of the procedural and diagnostic coding process.
Review monthly charge allowance reports to ensure utilization of appropriate fees in such a manner that reimbursement is maximized.
Supervise the charges being entered into patient record adhering to carrier regulations.
Each record reviewed for quality and content with special emphasis on:
History and examination
Procedure and diagnostic linkage
Medical decision making
Completes and follows up on missing Information from Physicians when the information provided does not support the services rendered.
Coordinates the activity of coding and data entry to ensure their accuracy as they relate to the billing process
Review H&P and surgeon's documentation for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications.
Researches and analyzes data needs for reimbursement.
Analyzes medical records and identifies documentation deficiencies.
Serves as resource and subject matter expert to other coding staff.
Reviews and verifies that documentation supports diagnoses, procedures and treatment results.
Identifies diagnostic and procedural information.
Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines.
Follows coding conventions. Serves as coding consultant to care providers.
Identifies discrepancies, potential quality of care, and billing issues.
Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors.
Performs other duties as assigned.
Qualifications
EDUCATION and/or EXPERIENCE:
Associate degree
Candidate must have 4 years prior experience working with CPT/ ICD-9 & ICD 10 coding is required, including having a comprehensive understanding of all insurance types and requirements. Current CPC certification is required and must be maintained annually. Surgery coding experience a plus.
Location : Location US-VA-Norfolk
Auto-ApplyCombination Inspector - Code Specialist II
Medical coder job in Falls Church, VA
Combination Inspector - Code specialist II
$92,904.00 - $106,990.00
Onsite
Open Until Filled
The City of Falls Church Building Safety Division is recruiting for full-time Combination Inspector with electrical experience. The individual selected will review plans (electrical) and perform combination construction inspections as technical assistant to the Building Official in the enforcement of the Virginia Uniform Statewide Building Code.
The City of Falls Church, Virginia, located less than seven miles from the heart of Washington D.C., is a unique and historic city. Falls Church is affectionately known as “The Little City” due to its small size and close-knit community atmosphere. Despite its small geographical area, Falls Church boasts a rich history and a vibrant community spirit, and is one of the most densely populated and fastest growing localities in Virginia. Situated between Arlington and Fairfax Counties, Falls Church takes pride in its independent spirit, walkable neighborhoods, and outstanding schools. With a population of approximately 16,000, the City is known as the “Little City” as we confront many of the same challenges as large cities across the country but with strong community involvement and a people first approach to government service.
The City of Falls Church is experiencing transformative growth in its commercial districts, where 1950s-era strip commercial shopping areas are being redeveloped with higher densities, a mix of uses, and walkable, bike friendly design. Falls Church seeks to maintain a high quality of life in established residential neighborhoods adjacent to commercial districts through urban street design, traffic calming, and excellent government services.
The individual selected for this position should be self-motivated and have or will quickly obtain the necessary certifications to review electrical plans and perform inspections. Inspections may include all trades in our fast growing, beautiful, diverse, well educated, urban jurisdiction. We are asking a lot, but we have a lot to offer to a person who desires a comprehensive experience with a local government agency.
Responsibilities:
Performs as technical assistant to the Building Official, enforcing the Virginia Uniform Statewide Building Code, the Virginia Rehabilitation Code, the Virginia Maintenance Code and the Virginia Amusement Devise Regulations;
Performs electrical plan reviews and assists with commercial combination plan reviews (building, plumbing, energy efficiency, fire alarm and fire suppression);
Performs residential inspections for one- and two-family dwellings;
Performs damage assessment and safety inspections of damaged structures;
Performs maintenance code inspections of existing buildings on a complaint basis;
Coordinates with the Fire Marshal, the Health Department and city staff on full code and maintenance code inspections;
Issues warnings, violation notices and stop-work orders;
Answers questions from private citizens, contractors and builders concerning code;
Documents inspections and plan reviews and provides other documentation consistent with division policy and record keeping;
Assists in scheduling inspections and coordinates with other inspectors to maximize use of time;
Attends meetings and conferences and testifies in court on code violation cases;
Obtains and maintains pertinent State and ICC certifications and attends regular training; Coordinates with other Departments and Divisions within the City; and,
Performs related tasks as required.
Qualifications:
Graduation from high school and certified by the Commonwealth of Virginia or ICC as an Electrical code inspector or plan reviewer;
At least four years of experience in the construction or inspection related field with thorough knowledge of all types of building construction materials, methods, and stages of construction.
Demonstrated ability to read and interpret plans accurately and to compare them with construction in progress, identify color utility markings and distinguish conductor color coding,
Strong verbal and written communication skills to contact building owners, contractors and the public and affect satisfactory working relationships;
Demonstrated steadfastness and tact in enforcing building ordinances and codes.
Ability to obtain electrical examiner certification and those of additional trades;
Combination residential inspector certification and commercial electrical inspector certification plus at least one additional commercial inspection certification.
A valid driver's license in the state of residence is required.
An equivalent combination of training and experience may be considered.
Hours:
Monday-Friday, 7:00 a.m. to 3:30 p.m. (some flexibility within); 40 hours per week.
Salary and Benefits:
Starting salary range $92,904.00 - $106,990.00, depending on qualifications. In addition, the City also offers a comprehensive benefits package including health insurance, dental insurance, pension plan, deferred compensation plan, flexible spending account, life and long-term disability insurance, paid holidays, vacation and sick leave, free parking, credit union membership, and more. See the following link ****************************** for additional information.
How to Apply:
To apply, please complete the online application at the following link ************************** and upload your cover letter and resume.
Our commitment to an inclusive workplace: The City of Falls Church is an equal opportunity employer and is committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because that is what drives curiosity, innovation, and the success of our organization. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the federal, state and/or local laws or regulations. Accommodations may be requested for applicants with disabilities. To request a reasonable accommodation, please contact the Human Resources Department at ************************ or ************. Determinations on requests for reasonable accommodation will be made on a case-by-case basis.
All City facilities are smoke free.
Code & Regulation Specialist (Multi) Building and Fire Regulations Division
Medical coder job in Richmond, VA
Title: Code & Regulation Specialist (Multi) Building and Fire Regulations Division
State Role Title: Compliance/Safety Officer IV
Hiring Range: $75K - $85K
Pay Band: 5
Agency Website: *****************************
Recruitment Type: General Public - G
Job Duties
Are you aware that Virginia's statewide building and fire related regulations are established by the Board of Housing and Community Development and the Virginia Department of Housing and Community Development oversees the process of developing those regulations? This responsibility falls under the Building and Fire Regulations Division, where a Code and Regulation Specialist plays a critical role in that process, and ultimately in positively impacting housing affordability, building and fire safety, accessibility, energy and water conservation, and resiliency across the state.
As a Code and Regulation Specialist, your responsibilities will include:
•Ensuring compliance with both state and federal building and fire codes by providing technical guidance and supporting regulatory enforcement activities.
•Assisting in the development and revision of building and fire safety regulations and standards.
•Providing technical assistance and administrative support for implementing and interpreting regulatory requirements.
•Monitoring and administering compliance activities, and where authorized, enforcing state and federal codes.
•Collaborating with local officials, stakeholders, and internal teams to ensure consistent application of regulations.
•Preparing reports, maintaining regulatory records, and supporting compliance reviews.
In this role, you will work within a team-oriented and customer-focused division, where your expertise as a subject matter expert will be valued and relied upon throughout the state of Virginia. You will have the opportunity to participate in the development and publishing of Virginia's building and fire related regulations and custom code books, as well as the development and delivery of related training programs, including those offered by the Jack A. Proctor Building Code Academy.
A Valid driver's license is required.
Virginia DHCD “Building Official” certification required.
Must be able to travel frequently, some out of state and overnight.
Applications will be reviewed bi-weekly.
Two positions will be filled from this vacancy posting.
Minimum Qualifications
Comprehensive knowledge of state, federal, and national laws, codes, regulations, and standards related to building, fire, plumbing, mechanical, electrical, energy conservation, and accessibility.
Comprehensive knowledge of the principles of building and fire protection design, construction, and engineering.
Skilled in conducting research, performing complex technical analysis, and reporting on findings.
Proficiency with computer hardware and software resources/applications necessary for execution of the job, including but not limited to Microsoft Office Suite.
Extensive experience in the administration and enforcement of building and fire-related regulations, codes, and standards.
Experience in the development of state and national building and fire-related regulations, codes, and standards.
Additional Considerations
Knowledge of the Virginia legislative and regulatory processes.
Special Instructions
You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.
You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.
Application Process:
Individuals desiring to be considered for this position must submit a completed employment application or you may attach a resume before the position's closing date. Applications/changes received after the closing date will not be considered. Applications sent through postal mail, email, or fax will not be considered.
Applicants are encouraged to be specific regarding job-related knowledge, skills, experience, and abilities.
You will be provided a confirmation of receipt when your application and/or résumé is submitted successfully. Please refer to “Your Application” in your account to check the status of your application for this position.
Supplemental Questions:
You may be required to respond to position-specific questions at the end of this application. This information may help us evaluate your credentials and qualifications for the job. Failure to respond to any questions may disqualify you from further consideration. Answers should be reflected in jobs and positions held.
Background and Reference Checks:
Selected applicants are subject to a background investigation and reference checks. Investigations may include fingerprint checks (State Police, FBI); local agency checks; employment verification; verification of education (if required and relevant to employment); credit checks; and other checks based on the position.
Lay off Policy 1.3:
If you have been impacted by the DHRM Policy 1.3 layoff and have a valid Interagency Placement Screening Form (Yellow Card) or Preferential Hiring Form (Blue Card), it is necessary to submit the card before the closing date for this position. You can include the Card as an attachment with your state application.
DHCD Welcomes Veterans and Spouses:
We are committed to recruiting, hiring, and retaining qualified Veterans and their spouses. Veterans who are hired into state positions may be eligible to receive additional leave accruals based on their total years of service in the military, National Guard, or Reserve. If applicable, please submit form DD-214 with your state application.
Sponsorship:
The Commonwealth of Virginia welcomes all applicants authorized to work in the United States. Sponsorship is not provided; therefore, applicants must be a citizen or national of the U.S., a Lawful Permanent Resident, or an alien authorized to work.
Reasonable Accommodations:
Accommodations are available to persons with disabilities during application and/or interview processes per the Americans with Disabilities Act. Contact our Human Resources Department for further assistance.
Equal Opportunity Employer:
The Department of Housing and Community Development practices fair and equal employment opportunities to all employees and applicants in accordance with applicable laws and regulations. It is our policy to prohibit discrimination on the basis of race, sex, color, national origin, religion, sexual orientation, gender identity, age, veteran status, political affiliation, genetics, or disability in the recruitment, selection, and hiring of its workforce. Qualified individuals with disabilities are encouraged to apply. It is our goal to foster a culture that demonstrates the principles of civility, diversity, opportunity, and inclusion.
Diversity, Opportunity, and Inclusion:
DHCD is committed to providing valuable opportunities for a diverse and inclusive environment where all employees feel supported. DHCD seeks to work with partners, grantees, and vendors who demonstrate a commitment to diversity and inclusion as a practice and have a demonstrated record of this commitment.
Alternative Hiring Process:
In support of the Commonwealth's commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at ************. Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.
Contact Information
Name: Human Resources
Phone: N/A
Email: *********************************
In support of the Commonwealth's commitment to inclusion, we are encouraging individuals with disabilities to apply through the Commonwealth Alternative Hiring Process. To be considered for this opportunity, applicants will need to provide their AHP Letter (formerly COD) provided by the Department for Aging & Rehabilitative Services (DARS), or the Department for the Blind & Vision Impaired (DBVI). Service-Connected Veterans are encouraged to answer Veteran status questions and submit their disability documentation, if applicable, to DARS/DBVI to get their AHP Letter. Requesting an AHP Letter can be found at AHP Letter or by calling DARS at ************.
Note: Applicants who received a Certificate of Disability from DARS or DBVI dated between April 1, 2022- February 29, 2024, can still use that COD as applicable documentation for the Alternative Hiring Process.
Coder
Medical coder job in Huntington, VA
Job DescriptionAI Coder
Our client is a leading force in advancing safer, smarter AI technology. Their work has been featured in Forbes, The New York Times, and other major outlets for pioneering high-quality, human-verified data that powers today's top AI systems.
They've built a global community of expert contributors and have already paid out more than $500 million to professionals worldwide who help train, test, and improve next-generation AI models.
Why Join This Team?
Earn up to $32/hr, paid weekly.
Payments via PayPal or AirTM.
No contracts, no 9-to-5. You control your schedule.
Most experts work 5-10 hours/week, with the option to work up to 40 hours from home.
Join a global community of experts contributing to advanced AI tools.
Free access to the Model Playground to interact with leading LLMs.
Requirements
Bachelor's degree or higher in Computer Science from a selective institution.
Proficiency in Python, Java, JavaScript, or C++.
Ability to explain complex programming concepts fluently in Spanish and English.
Strong Spanish and English grammar, punctuation, and technical writing skills.
Preferred: 1+ years of experience as a Software Engineer, Back End Developer, or Full Stack Developer.
What You'll Do
Teach AI to interpret and solve complex programming problems.
Create and answer computer-science questions to train AI models.
Review, analyze, and rank AI-generated code for accuracy and efficiency.
Provide clear and constructive feedback to improve AI responses.
Apply now to help train the next generation of programming-capable AI models!
Certified Coder
Medical coder job in Richmond, VA
At Capital Area Health Network, we are committed to more than just providing healthcare-we are dedicated to transforming lives through compassion, excellence, and purpose-driven service. As a valued member of our mission-focused medical team, you'll be part of a culture that fosters our CAHN Cares:
Compassion-We treat every person with dignity and fairness, embracing all and ensuring no one is alienated or discriminated against.
Accountability-We safeguard the confidentiality of our patients and staff and are transparent in reporting to stakeholders and the community.
Reverence-We answer a higher call to serve, uplift those in need, and create a community rooted in mutual respect and shared humanity.
Excellence-We are committed to continuous learning and professional development, ensuring the delivery of culturally responsive, high-quality care.
Stewardship-We responsibly manage our resources to benefit both the organization and the community we serve.
We offer comprehensive primary care, dental services, and behavioral health support to our patients, ensuring every individual receives the quality care they deserve, regardless of background or circumstance.
Our mission is clear: To deliver effective, accessible, and culturally responsive care, education, and advocacy that promote health and quality of life.
Discover a place where your work makes a difference. Discover Capital Area Health Network. ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- **This is an on-site position. JOB SUMMARY
We are seeking a highly skilled and experienced Certified Coder with expertise in Federally Qualified Health Center (FQHC) coding and billing practices. The ideal candidate will hold a certification through either the AAPC (American Academy of Professional Coders) or RHIT (Registered Health Information Technician) and possess in-depth knowledge of FQHC coding standards, payer requirements, and federal healthcare regulations.
ESSENTIAL FUNCTIONS
Perform detailed coding of outpatient visits, including but not limited to primary care, behavioral health, dental, and preventive services, following FQHC guidelines.
Ensure proper coding and billing for Medicare, Medicaid, and commercial insurance payers, adhering to federal, state, and payer-specific regulations.
Review clinical documentation to verify accuracy and ensure appropriate coding is used.
Serve as a coding resource for team members, providing mentorship and training as needed.
Collaborate with clinical and administrative staff to ensure accurate and timely claims submission.
Participate in internal and external audits, assisting in chart reviews and responses to coding-related queries.
Maintain up-to-date knowledge of coding updates, payer policies, and FQHC-specific regulations
Support the improvement of revenue cycle processes and workflows to maximize reimbursement and minimize errors.
Assist in the development and implementation of coding policies, procedures, and educational resources.
KNOWLEDGE, SKILL, ABILITIES, AND OTHER CHARACTERISTICS
Experience with EHR systems such as EPIC, Athena Health, or Centricity
Strong communication skills with the ability to work collaboratively across departments.
Ability to mentor and train junior coders and provide guidance on coding best practices.
EDUCATION AND EXPERIENCE
High school diploma or equivalent required; associate or bachelor's degree in business, Healthcare Administration, or related field preferred
Required Certifications: AAPC (CPC, CPC-H, or CPC-P) or RHIT (Registered Health Information Technician) certification.
Experience: Minimum of 5 years of professional coding experience, with at least 3 years in an FQHC setting.
Extensive experience with ICD-10-CM, CPT, HCPCS Level II, and Medicare/Medicaid coding guidelines.
Strong understanding of FQHC-specific reimbursement models, including PPS (Prospective Payment System), RHC (Rural Health Clinics), and billing procedures.
PHYSICAL REQUIREMENTS
Ability to work in an office setting and use office equipment such as computers and phones
Occasional light lifting (up to 15 pounds) may be required for filing or office tasks.
BENEFITS
Your Benefits at Capital Area Health Network (CAHN):
Health Coverage
Medical Insurance
Dental Insurance
Vision Insurance
Secondary Gap Insurance
Prescription Drug Plan
Supplemental Policies through Colonial Life
Financial Security
Short-Term Disability
401(k) Retirement Plan with up to 3% Company Match
Employer-Sponsored Short-Term Disability
Employer Paid Life and AD&D
Work-Life Balance
Paid Time Off (PTO) Accrued as of Day 1
Self-Care Floating Holidays
8.5 Paid Holidays
Additional Support
Employee Assistance Program (EAP)
Public Service Loan Forgiveness
We're committed to supporting your well-being, at work and beyond.
DISCLAIMER
This position carries a high risk of exposure to infectious agents, including HIV, hepatitis, and TB. The above duties and responsibilities are essential job functions, subject to reasonable accommodations. All job requirements listed indicate the minimum level of knowledge, skills, and/or abilities deemed necessary to perform the job proficiently. This job description is not intended to be construed as an exhaustive statement of duties, responsibilities, or requirements. Employees may be required to perform any other job-related instructions, as requested by their supervisor, subject to reasonable accommodation.
APP - Gastro Health - Alexandria, Virginia
Medical coder job in Alexandria, VA
Gastro Health is seeking a Full-Time Nurse Practitioner or Physician Assistant to join our team!
To support our continued growth, we are seeking a full-time NP or PA in beautiful Northern Virginia to serve our patients in Alexandria and the surrounding communities.
Gastro Health is an extensive and diverse group of professionals dedicated to digestive and liver health. Now with 140 locations in seven states, our team of physicians, advanced practice providers, nutritionists, technicians, and support team are on a mission to provide outstanding medical care and an exceptional healthcare experience.
Practice Details
In-office Monday through Friday
No night or weekend call
Average 12-18 patients per day
Collaboration with 2 board-certified gastroenterologists and 3 advanced practice providers
Full-Time Benefits
Company-paid Malpractice Insurance
Competitive Salary
Annual productivity bonus
21 days PTO plus Paid Holidays
CME allowance + 3 CME days
Group Health Benefits (Medical, Dental & Vision)
Retirement Plans (401k, Profit Sharing)
Short- & Long-Term Disability
Healthcare & Dependent Flexible Spending Accounts
Job Duties
Monday - Friday care center outpatient
Examine, diagnose, and coordinate treatment plans for patients with acute illnesses and exacerbations of chronic disease (under the supervision of physicians)
Order, interpret, and make diagnoses of lab tests and imaging scans
Record progress notes, instruct and counsel patients, and modify treatment plans as needed
Write/refill prescriptions appropriate for diagnosis
Review patient results, including pathology
Document patient information in eClinicalWorks in a timely manner
Other duties related to the specialty of gastroenterology as assigned
Candidate Requirements
Active NP or PA license in the state of Virginia
Certification as an advanced practice provider with prescriptive authority
GI experience preferred
Ability to build strong working relationships with the healthcare team
Demonstrate integrity, adaptability, and the desire to make a positive impact in the lives of our patients and teammates
Bilingual in Spanish preferred
What Makes Gastro Health Different?
Collaboration: We strive to ensure a shared workload among you and your colleagues, which means a reasonable patient volume and great work-life balance.
Stability: We care about your mental well-being as much as your financial success. That's why we offer competitive compensation without sacrificing all your free time.
Support: Our co-investment model allows you to receive access to best-in-class medical technology, clinical research, continuing education, marketing and operational support, and administrative assistance.
Security: As a fast-growing national healthcare organization, we offer a competitive compensation package and opportunities for your personal and professional growth.
Thank you for your interest in joining our growing Gastro Health team!
Health Information Management Coder
Medical coder job in Falls Church, VA
The Health Information Management (HIM) Coder is responsible for assigning procedures and diagnostic codes to patient records, including all primary and secondary diagnosis(s) for all patients admitted to Capital Caring Health. Using different forms of coding libraries, the HIM Coder will also routinely monitor all active records and update them in accordance with state and federal guidelines, accreditation standards, as well as Capital Caring's Policies and Procedures.
Location: Falls Church, VA
Hours: Monday-Friday: 8:00am-5:00pm
COVID-19 vaccine required to be completed upon start.
Responsibilities
The Health Information Management (HIM) Coder is responsible for coding all primary and secondary diagnosis(s) on all patients admitted to Capital Caring.
Qualifications
Experience Requirements
Must have 2 years of coding experience (ICD-10-CM, CPT) in a healthcare facility.
Education Requirements
Must have an Associate Degree or previous coding experience with a home health and/or hospice organization.
Required Certificates and/or Licenses
Must have CCS-P or a CPC or AAPC or AHIMA certification.
Auto-ApplyNetAct OSS Professional
Medical coder job in Reston, VA
Bachelor's degree in Engineering o At least 3 years of work experience in Telecoms industry o Good knowledge/understanding of operation and maintenance center concepts o Conversant with performance measurements and the analysis thereof o Knowledge of NetAct system-specific architecture
o Experience working with NetAct platform
o Knowledge of iSON system-specific architecture
o Knowledge of EdenNet system-specific architecture
o Expertise in Red Hat Enterprise Linux OS (Red hat Linux certified preferable)
o Intermediate knowledge of ORACLE and Cisco IOS
o NetAct Admin certification for Netact-8 preferable
Additional Information
All your information will be kept confidential according to EEO guidelines.
Medical Coding Appeals Analyst
Medical coder job in Richmond, VA
Sign On Bonus: $1,000 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.
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
This position is not eligible for employment based sponsorship.
Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria.
PRIMARY DUTIES:
* Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code.
* Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of enterprise reimbursement policy.
* Translates medical policies into reimbursement rules.
* Performs CPT/HCPCS code and fee schedule updates, analyzing each new code for coverage, policy, reimbursement development, and implications for system edits.
* Coordinates research and responds to system inquiries and appeals.
* Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy.
* Perform pre-adjudication claims reviews to ensure proper coding was used.
* Prepares correspondence to providers regarding coding and fee schedule updates.
* Trains customer service staff on system issues.
* Works with providers contracting staff when new/modified reimbursement contracts are needed.
Minimum Requirements:
Requires a BA/BS degree and a minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) certification required.
Preferred Skills, Capabilities and Experience:
* CEMC, RHIT, CCS, CCS-P certifications preferred.
Job Level:
Non-Management Exempt
Workshift:
Job Family:
MED > Licensed/Certified - Other
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.
Medical Coding Appeals Analyst
Medical coder job in Richmond, VA
Sign On Bonus: $1,000 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.
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
This position is not eligible for employment based sponsorship.
Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria.
PRIMARY DUTIES:
* Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code.
* Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of enterprise reimbursement policy.
* Translates medical policies into reimbursement rules.
* Performs CPT/HCPCS code and fee schedule updates, analyzing each new code for coverage, policy, reimbursement development, and implications for system edits.
* Coordinates research and responds to system inquiries and appeals.
* Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy.
* Perform pre-adjudication claims reviews to ensure proper coding was used.
* Prepares correspondence to providers regarding coding and fee schedule updates.
* Trains customer service staff on system issues.
* Works with providers contracting staff when new/modified reimbursement contracts are needed.
Minimum Requirements:
Requires a BA/BS degree and a minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) certification required.
Preferred Skills, Capabilities and Experience:
* CEMC, RHIT, CCS, CCS-P certifications preferred.
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.
Auto-ApplyPGA Certified STUDIO Performance Specialist
Medical coder job in Richmond, VA
Overview (pay range: 15-23 HR) At PGA TOUR Superstore, we are always looking for enthusiastic, self-motivated, flexible individuals who will share a passion for helping transform our business. As one of the fastest growing specialty retailers, we are dedicated to hiring selfless team players from different backgrounds to influence the growth of our organization. Part of the Arthur M. Blank Family of Businesses, PGA TOUR Superstore continuously strives to create a family culture for our Associates - driven by our vision to inspire people through golf and tennis.
Position Summary
Reporting to the Sales and Service Manager, the STUDIO Performance Specialist delivers world-class service through expert instruction and precision fitting. This hybrid role blends the responsibilities of a Golf Instructor and a Fitting Specialist, ensuring every customer receives a tailored experience that improves their game and drives lasting relationships.
The STUDIO Performance Specialist is responsible for achieving KPIs across both fittings and lessons, proactively growing their client base, and maintaining a fully booked schedule. The role also supports the visual and operational excellence of the STUDIO, leveraging advanced technology and product knowledge to deliver measurable performance results.
Key Responsibilities:
Customer Experience & Engagement
* Engage every customer with world-class service by demonstrating PGA TOUR Superstore's Service Behaviors.
* Build lasting relationships that encourage repeat business and client referrals.
* Educate and inspire customers by connecting instruction and equipment performance to game improvement.
Instruction & Coaching
* Conduct one-on-one lessons, clinics, and group events tailored to player needs, goals, and skill levels.
* Utilize technology such as TrackMan, SAM PuttLab, and USchedule to deliver data-driven instruction.
* Develop personalized lesson plans and track student progress, providing constructive feedback and measurable improvement.
* Proactively organize clinics and performance events to build customer engagement and community participation.
Fitting & Equipment Performance
* Execute professional club fittings using PGA TOUR Superstore's certified fitting techniques and technology.
* Maintain a brand-agnostic approach to ensure customers are fit for the best equipment based on their unique swing data and goals.
* Educate customers on product features, benefits, and performance differences across brands.
* Accurately enter and manage custom orders, ensuring all specifications are documented precisely.
Operational & Visual Excellence
* Maintain all STUDIO areas (simulators, components drawers, putting green) to the highest visual and operational standards.
* Ensure equipment, software, and technology remain functional and calibrated.
* Support front-end operations, including returns, lesson redemptions, loyalty programs, and promotions.
* Stay current on marketing campaigns and merchandising events, executing promotional setups and maintaining accurate displays.
Performance & Business Growth
* Achieve key performance indicators (KPIs) such as:
* Lessons and fittings completed
* Sales per hour and booking percentage
* Clinic participation and conversion to sales
* Proactively grow the STUDIO business through client outreach, networking, and relationship management.
* Provide consistent feedback to the Sales and Service Manager to improve operations, merchandising, and customer experience.
Qualifications and Skills Required
* Certification: Only PGA Members and Apprentices in good standing with the PGA of America are eligible for this role. The candidate must maintain good standing with the PGA for the duration of employment. The candidate may be asked to provide proof of PGA membership in the form of a current membership card or proof of membership dues payment.
* Communication: Strong interpersonal, listening, and verbal/written communication skills with the ability to engage and educate customers.
* Technical Proficiency: Working knowledge of Microsoft Office Suite and fitting/instruction technology (TrackMan, SAM PuttLab, USchedule).
* Organization: Ability to manage multiple priorities, maintain schedules, and meet deadlines.
* Education: High school diploma or equivalent required; PGA certification or equivalent instruction credentials preferred.
* Experience:
* 2+ years of golf instruction and club fitting experience preferred.
* Experience with swing analysis tools and custom club building highly valued.
* Physical Demands: Must be able to stand for extended periods, move throughout the store, lift up to 30 lbs overhead, and work in simulator environments.
* Availability: Must maintain flexible availability, including nights, weekends, and holidays.
* Accountability: Demonstrates strong self-accountability, professionalism, and a proactive drive for results.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
PGA TOUR Superstores is an Equal Opportunity Employer, committed to a diverse and inclusive work environment.
We comply with all laws that prohibit discrimination based on race, color, religion, sex/gender, age (40 and over), national origin, ancestry, citizenship status, physical or mental disability, veteran status, marital status, genetic information, and any other legally protected status. Employment discrimination isn't just unlawful, it violates our policies and is not who we are. Every associate at every level in the organization is prohibited from engaging in any form of discrimination.
An associate who believes s/he is being discriminated against should report it immediately to the Human Resources department. The law and our policies prohibit retaliation against anyone for making such a report.
Auto-ApplyMedical Records Specialist Home Health - Full-time
Medical coder job in Virginia Beach, VA
Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We're committed to expanding what's possible for patient care in the home, all while fostering a unique culture that is both innovative and collaborative.
At Enhabit, the best of what's next starts with us. We not only make it a priority to maintain an ethical and stable workplace but also continually invest in our employees. By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients.
Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Subject to employee eligibility, some benefits, tools and resources include:
* 30 days PDO - Up to 6 weeks (PDO includes company observed holidays)
* Continuing education opportunities
* Scholarship program for employees
* Matching 401(k) plan for all employees
* Comprehensive insurance plans for medical, dental and vision coverage for full-time employees
* Supplemental insurance policies for life, disability, critical illness, hospital indemnity and accident insurance plans for full-time employees
* Flexible spending account plans for full-time employees
* Minimum essential coverage health insurance plan for all employees
* Electronic medical records and mobile devices for all clinicians
* Incentivized bonus plan
Responsibilities
Ensure the integrity of the patient medical record. Provide clerical support and process signed and unsigned orders, 485's, and other key documents. Ensure documents are saved to the patient medical record.
Qualifications
Education and experience, essential
* Must possess a high school diploma or equivalent.
* Must have demonstrated experience in the use of a computer, including typing and clerical skills.
* Must have basic demonstrated technology skills, including operation of a mobile device.
Education and experience, preferred
* Six months experience in medical records in a health care office is highly preferred.
Requirements*
* Must possess a valid state driver license
* Must maintain automobile liability insurance as required by law
* Must maintain dependable transportation in good working condition
* Must be able to safely drive an automobile in all types of weather conditions* For employees located in Oregon, requirements related to driving are not applicable unless employee has a clinical license.
Additional Information
Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.
Auto-ApplyMedical Records Clerk
Medical coder job in Richmond, VA
Job Details Richmond, VADescription
At Capital Area Health Network, we are committed to more than just providing healthcare-we are dedicated to transforming lives through compassion, excellence, and purpose-driven service. As a valued member of our mission-focused medical team, you'll be part of a culture that fosters our CAHN Cares:
Compassion-We treat every person with dignity and fairness, embracing all and ensuring no one is alienated or discriminated against.
Accountability-We safeguard the confidentiality of our patients and staff and are transparent in reporting to stakeholders and the community.
Reverence-We answer a higher call to serve, uplift those in need, and create a community rooted in mutual respect and shared humanity.
Excellence-We are committed to continuous learning and professional development, ensuring the delivery of culturally responsive, high-quality care.
Stewardship-We responsibly manage our resources to benefit both the organization and the community we serve.
We offer comprehensive primary care, dental services, and behavioral health support to our patients, ensuring every individual receives the quality care they deserve, regardless of background or circumstance.
Our mission is clear: To deliver effective, accessible, and culturally responsive care, education, and advocacy that promote health and quality of life.
Discover a place where your work makes a difference. Discover Capital Area Health Network.
JOB SUMMARY
The Medical Records Clerk is responsible for compiling and maintaining patient medical records to accurately document conditions and treatments. Duties include reviewing records for completeness, abstracting and coding clinical data (such as diagnoses, procedures, surgeries, and therapies) using standard classification systems, and compiling medical and census data for statistical reporting. The clerk also responds to inquiries from law firms, insurance companies, and government agencies, maintains various health record indexes and retrieval systems, and operates computer systems to process, store, and retrieve health information.
ESSENTIAL FUNCTIONS
• Analyze client medical records for compliance with federal and state regulations and standards.
• Identifies documentation deficiencies.
• Documents the transfer of information to other physicians, hospitals, Law firms, and Health Departments
• Pulls and refiles records as needed.
• Assist with client registration and answering telephone calls
• Creates medical records for new patients
• Inserts laboratory results into patients' charts.
• Delivers and retrieves correspondence for providers and nursing staff as needed
• Performs related duties as assigned.
Schedule:
Monday - Friday, the hours of operation, 8:00 am- 5:00 pm, with potential extended hours.
EDUCATION AND EXPERIENCE
• High school, or equivalent GED
• Previous medical record experience
• Solid knowledge of the latest corporate training techniques.
• Excellent time management and organizational skills.
• Ability to inspire and support people.
• Good people and interpersonal skills with the ability to build effective relationships with all levels of professionals.
• Ability to plan well and prioritize work.
• Strong organizational skills.
• Good decision-making, computer, and communication skills.
• Remains calm and tactful during stressful situations, emergencies, and confrontations
BENEFITS
Your Benefits at Capital Area Health Network (CAHN):
We value our team, and it shows in our benefits. As a CAHN employee, you'll enjoy:
Health Coverage
• Medical Insurance
• Dental Insurance
• Vision Insurance
• Secondary Gap Insurance
• Prescription Drug Plan
• Supplemental Policies through Colonial Life
Financial Security
• Short-Term Disability
• 401(k) Retirement Plan with up to 3% Company Match
• Employer-Sponsored Short-Term Disability
• Employer Paid Life and AD&D
Work-Life Balance
• Paid Time Off (PTO) Accrued as of Day 1
• Self-Care Floating Holidays
• 8.5 Paid Holidays
Additional Support
• Employee Assistance Program (EAP)
• Public Service Loan Forgiveness
We're committed to supporting your well-being, at work and beyond.
QUALIFICATIONS
To perform this job successfully, the employee must be able to perform each essential function, as well as meet the physical and mental requirements, satisfactorily. The requirements listed above are representative of the knowledge, skills, abilities, and other characteristics required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
DISCLAIMER
This position carries a high risk of exposure to infectious agents, including HIV, hepatitis, and TB. The above duties and responsibilities are essential job functions, subject to reasonable accommodations. All job requirements listed indicate the minimum level of knowledge, skills, and/or abilities deemed necessary to perform the job proficiently. This job description is not intended to be construed as an exhaustive statement of duties, responsibilities, or requirements. Employees may be required to perform any other job-related instructions, as requested by their supervisor, subject to reasonable accommodation.
Medical Records Coordinator
Medical coder job in Petersburg, VA
Job Address:
250 Flank Road Petersburg, VA 23805
Battlefield Park Healthcare Center, a member of the CommuniCare Family of Companies, is currently recruiting a Medical Records Coordinator to join our team.
Full Time Day Shift
The Medical Records Coordinator will manage our Point Click Care system. Yes! This is the 21st century, and all our medical records are digital! Therefore, we need
you
to:
Ensure that active and inactive Point Click Care electronic health records accurately reflect the resident's condition from admission through discharge.
Ensure compliance of Point Click Care electronic health records.
Protect Point Click Care electronic health records from breaches of confidentiality, unauthorized use, theft, and damage.
WHAT WE OFFER
Beyond our competitive wages, we offer all full-time employees a variety of benefit options including:
Life Insurance
LTD/STD
Medical, Dental, and Vision
401(k) Employer Match with Flexible Spending Accounts
NOW OFFERING DAILY PAY! WORK TODAY, GET PAID TOMORROW.
Do you have what it takes to become our next Medical Records Coordinator?
QUALIFICATIONS & EXPERIENCE REQUIREMENTS
High School graduate or GED equivalent.
Computer proficiency required.
Previous medical records or other relevant healthcare experience.
Point Click Care experience preferred.
THE COMMUNICARE COMMITMENT
A family-owned company, we have grown to become one of the nation's largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients, and family members care for and about one another.
Auto-ApplyMedical Biller/Coder Associate - Access Healthcare Multi-Specialty Group
Medical coder job in Forest, VA
Job DescriptionAt AHMG, we provide clinical services, clerical support, and patient care in a forward-thinkingenvironment. Join a team where your skills and ideas will make a difference in the health of our patients and the communities, we live in.
The Medical Billing/Coder Associate assists in office related functions for the central office of the organization, including, but not limited to:
Daily maintenance, organization and follow up on insurance duties, responsibilities, and documents
Compilation of insurance documents
Electronic billing or paper billing of insurance claims
Posting of payments
Continual follow up of denied, rejected or missing claims
Clerical duties (answering phones, scheduling appointments)
Strong organizational skills, attention to detail, self-motivated and interpersonal skills required.
Must be comfortable working as a team as well as independently.
Analytical and critical thinking skills required.
Open office setting with a collaborative team and positive office culture.
Work/Life Balance Friendly
Office Hours M-F, 8:15am - 5pm, with 1-2 late evenings, no weekends.
Medical Billing Certificate
Required Experience:
Diagnosis/CPT Coding
Implementation/Billing of multiple provider types under the same Tax ID/NPI
Medicare billing
???????Advanced level experience and proficiency with Microsoft Excel, Word, and Outlook.
Medical Records Clerk
Medical coder job in Blacksburg, VA
Perform diagnostic/procedural coding using currently approved VMCVM systems. in addition to reviewing medical charts for coding, the charts will need to be checked for quality and completeness. Assist with ensuring all reports are processed in a timely and accurate manner. Work with other team members and assist in overseeing daily duties in medical records are complete. Organize and maintain research study records. Provide support to the entire Patient Services group, which includes; greeting clients, patient check in, scheduling appointment and answering calls. This position may be considered essential and required report to work during emergency and inclement weather closings.
Required Qualifications
Knowledge of standard medical terminology, medical records, and medical policies, procedures & practices; previous experience working in a veterinary or human medical facility; previous experience using a computer including word processing; previous date entry experience; previous experience in a professional office environment; excellent communication skills; ability to work under stress and meet appointed deadlines.
Preferred Qualifications
Medical terminology courses; experience with diagnostic coding; experience with medical records
maintenance.
Pay Band
3; Salary
Appointment Type
Restricted
Salary Information
Salary; Commensurate with Experience (Starting at $31,200)
Review Date
September 1, 2022
Additional Information
The successful candidate will be required to have a criminal conviction check.
About Virginia Tech
Dedicated to its motto,
Ut Prosim
(That I May Serve), Virginia Tech pushes the boundaries of knowledge by taking a hands-on, transdisciplinary approach to preparing scholars to be leaders and problem-solvers. A comprehensive land-grant institution that enhances the quality of life in Virginia and throughout the world, Virginia Tech is an inclusive community dedicated to knowledge, discovery, and creativity. The university offers more than 280 majors to a diverse enrollment of more than 36,000 undergraduate, graduate, and professional students in eight undergraduate colleges, a school of medicine, a veterinary medicine college, Graduate School, and Honors College. The university has a significant presence across Virginia, including the Innovation Campus in Northern Virginia; the Health Sciences and Technology Campus in Roanoke; sites in Newport News and Richmond; and numerous Extension offices and research centers. A leading global research institution, Virginia Tech conducts more than $500 million in research annually.
Virginia Tech does not discriminate against employees, students, or applicants on the basis of age, color, disability, sex (including pregnancy), gender, gender identity, gender expression, genetic information, national origin, political affiliation, race, religion, sexual orientation, or military status, or otherwise discriminate against employees or applicants who inquire about, discuss, or disclose their compensation or the compensation of other employees or applicants, or on any other basis protected by law.
If you are an individual with a disability and desire an accommodation, please contact Carrie Nowlin at ************** during regular business hours at least 10 business days prior to the event.
APP - Gastro Health - Reston, Virginia
Medical coder job in Reston, VA
Gastro Health is seeking a Full-Time Nurse Practitioner or Physician Assistant to join our team!
To support our continued growth, we are seeking a full-time NP or PA in beautiful Northern Virginia to serve our patients in Reston and the surrounding communities.
Gastro Health is an extensive and diverse group of professionals dedicated to digestive and liver health. Now with 140 locations in seven states, our team of physicians, advanced practice providers, nutritionists, technicians, and support team are on a mission to provide outstanding medical care and an exceptional healthcare experience.
Practice Details
In-office and inpatient, Monday through Friday
No night or weekend call
Average 14-18 patients per day
Collaboration with 8 board-certified gastroenterologists and 5 advanced practice providers
Full-Time Benefits
Company-paid Malpractice Insurance
Competitive Salary
Annual productivity bonus
21 days PTO plus Paid Holidays
CME allowance + 3 CME days
Group Health Benefits (Medical, Dental & Vision)
Retirement Plans (401k, Profit Sharing)
Short- & Long-Term Disability
Healthcare & Dependent Flexible Spending Accounts
Job Duties
Monday - Friday care center outpatient consults and follow-ups
Examine, diagnose, and coordinate treatment plans for patients with acute illnesses and exacerbations of chronic disease (under the supervision of physicians)
Order, interpret, and make diagnoses of lab tests and imaging scans
Record progress notes, instruct and counsel patients, and modify treatment plans as needed
Write/refill prescriptions appropriate for diagnosis
Review patient results, including pathology
Document patient information in eClinicalWorks in a timely manner
Other duties related to the specialty of gastroenterology as assigned
Candidate Requirements
Active NP or PA license in the state of Virginia
Certification as an advanced practice provider with prescriptive authority
GI experience preferred
Ability to build strong working relationships with the healthcare team
Demonstrate integrity, adaptability, and the desire to make a positive impact in the lives of our patients and teammates
What Makes Gastro Health Different?
Collaboration: We strive to ensure a shared workload among you and your colleagues, which means a reasonable patient volume and great work-life balance.
Stability: We care about your mental well-being as much as your financial success. That's why we offer competitive compensation without sacrificing all your free time.
Support: Our co-investment model allows you to receive access to best-in-class medical technology, clinical research, continuing education, marketing and operational support, and administrative assistance.
Security: As a fast-growing national healthcare organization, we offer a competitive compensation package and opportunities for your personal and professional growth.
Why Reston?
Nestled in the heart of Northern Virginia, Reston offers an exceptional blend of urban convenience and natural beauty. Join Gastro Health in Reston and make a meaningful impact on the community while embracing a lifestyle that celebrates the finest aspects of Virginia living.
Meet Our Team
Thank you for your interest in joining our growing Gastro Health team!