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Associate Medical Coding Billing Jobs in Virginia

Pediatric Associates of Alexandria

Be Seen First

Medical Billing Specialist

Arlington, VA · On-site

$22 - $25/hr

Medical billing and coding certification (CPC, CBCS, or equivalent). Company Description Pediatric Associates of Alexandria is looking to hire for our outpatient pediatric office. We have three ...

Humana Inc

Inpatient Medical Coding Auditor

Richmond, VA · On-site

$71.10 - $97.80/hr

The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues ... Associates who live and work from Home in the state of California, Illinois, Montana, or South ...

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Associate Medical Coding Billing information

What is an associate medical coding billing professional?

Associate Medical Coding Billing professionals are entry-level specialists who work in healthcare settings to accurately assign standardized codes to diagnoses, procedures, and medical services for billing and insurance purposes. They review patient records, ensure coding compliance with regulations, and help healthcare providers receive proper reimbursement. Their work is critical for efficient healthcare operations, minimizing billing errors, and reducing claim denials. Typically, they work under the supervision of experienced coders or billing managers while gaining on-the-job experience.

What are the key skills and qualifications needed to thrive as an associate medical coding billing professional?

To thrive as an Associate Medical Coding Billing professional, you need a solid understanding of medical terminology, coding systems (such as ICD-10, CPT, and HCPCS), and insurance claim processes, often supported by a relevant certification like CPC or CCA. Proficiency with medical billing software, electronic health records (EHR) systems, and claims processing tools is typically required. Attention to detail, organizational skills, and the ability to communicate effectively with healthcare providers and payers are crucial soft skills. These competencies ensure accurate coding, minimize claim denials, and support efficient reimbursement processes for healthcare organizations.

What are some typical challenges faced by associate medical coding billing professionals, and how can they be managed?

Associate Medical Coding Billing professionals often encounter challenges such as keeping up-to-date with frequent changes in coding standards and insurance regulations, ensuring accuracy under tight deadlines, and resolving discrepancies between clinical documentation and billing codes. Managing these challenges involves continuous education, attention to detail, and proactive communication with healthcare providers and insurance representatives. Many organizations offer training sessions and encourage collaboration within coding and billing teams to address complex cases and minimize errors.

What is the difference between Associate Medical Coding Billing vs Medical Coding Specialist?

AspectAssociate Medical Coding BillingMedical Coding Specialist
CertificationsCPB, CPC, or similarCPB, CPC, or similar
Work EnvironmentHealthcare facilities, billing companiesHospitals, clinics, billing firms
Job FocusCoding and billing processes, claim submissionAccurate coding, compliance, documentation
Common UsageEntry to mid-level roles in billing and codingSpecialized coding roles, quality assurance

Both roles require similar certifications and work in healthcare settings, but the Associate Medical Coding Billing focuses on both coding and billing tasks, often at an entry to mid-level, while the Medical Coding Specialist emphasizes precise coding and compliance, often with more specialized responsibilities.

Can I get an associate in medical coding billing?

An associate degree in medical coding and billing is a common credential that can enhance job prospects in this field. It typically involves completing a two-year program that covers coding systems like ICD-10 and CPT, and may prepare individuals for certification exams such as CPC or CCS. Having this degree can improve employability and understanding of medical billing and coding processes.

Is an associate's degree in medical coding and billing worth it?

An associate's degree in medical coding and billing can enhance job prospects and earning potential for an Associate Medical Coding Billing professional by providing foundational knowledge of medical terminology, coding systems, and healthcare regulations. However, obtaining industry certifications like CPC or CCS can also be essential for career advancement and may sometimes be more valued than the degree alone.

Is it hard to get a job as an associate medical coding billing?

Getting a job as an associate medical coding and billing specialist typically requires relevant certification, such as CPC or CCS, and some familiarity with medical terminology and coding systems. Entry-level positions are often available, but competition can vary based on location and experience; strong attention to detail and computer skills are important for success.

What are the most commonly searched types of Medical Coding Billing jobs in Virginia?

The most popular types of Medical Coding Billing jobs in Virginia are:

Associate Medical Coding Billing jobs near you

Medical Coding & Reimbursement Specialist Jobs

ClearanceJobs

Mclean, VA • On-site

Other

Medical, Dental, Vision, Life, Retirement

Posted 6 days ago

Job description

Senior Medical Coding & Reimbursement Specialist

Job Family: Strategy & Transformation Consulting

Travel Required: Up to 25% Clearance Required: Ability to Obtain Public Trust

What You Will Do:

We are seeking a Senior Medical Coding & Reimbursement Specialist to support federal health programs by providing expertise in healthcare coding, reimbursement, provider billing practices, and claims operations. In this role, you will help shape how coding standards, reimbursement requirements, provider billing workflows, and healthcare service relationships are analyzed, evaluated, and operationalized across clinical, operational, reimbursement, and analytics stakeholders. You will apply knowledge of CPT, HCPCS, ICD-10, modifiers, revenue codes, claims adjudication, and reimbursement methodologies to support consistent decision-making, improve operational understanding, and ensure healthcare services are accurately represented within program processes and supporting frameworks. The ideal candidate brings deep coding and reimbursement expertise combined with an understanding of how healthcare services move from clinical delivery through documentation, coding, billing, adjudication, and payment. Responsibilities will include:

  • Develop, refine, and maintain CPT, HCPCS, ICD-10, modifier, revenue code, and ancillary service code groupings.
  • Support development of code sets that accurately represent episodes of care, treatment pathways, and healthcare services.
  • Research coding guidance, Medicare policies, reimbursement methodologies, and billing requirements to support code inclusion and exclusion decisions.
  • Identify related, supporting, bundled, ancillary, add-on, and downstream services associated with diagnoses and procedures.
  • Validate code sets against Medicare requirements, fee schedules, reimbursement policies, NCCI edits, and coding standards.
  • Review provider billing practices and claims patterns to identify missing, duplicative, or inappropriate code relationships.
  • Document coding rationale, business rules, assumptions, exclusions, and validation findings.
  • Participate in coding reviews, clinical reviews, quality control activities, and stakeholder reviews.
  • Collaborate with clinicians, reimbursement SMEs, and analytics teams to evaluate code inclusion, exclusion, and grouping decisions.
  • Support governance processes, change requests, maintenance activities, and version control efforts.

What You Will Need:

  • 5+ years of experience in medical coding, reimbursement, payment integrity, auditing, compliance, revenue cycle, or claims operations.
  • Strong knowledge of CPT, HCPCS, ICD-10-CM, ICD-10-PCS, revenue codes, modifiers, Medicare reimbursement methodologies, claims adjudication, provider billing workflows, NCCI edits, and fee schedules.
  • Experience working within payer, provider, TPA, Medicare, Medicaid, TRICARE, Commercial, or Federal healthcare environments.
  • Ability to translate coding guidance and reimbursement requirements into operationally actionable code set recommendations.
  • Candidates should possess one or more of the following certifications:
    • Certified Professional Coder (CPC)
    • Certified Outpatient Coder (COC)
    • Certified Professional Medical Auditor (CPMA)
    • Certified Risk Adjustment Coder (CRC)
    • Registered Health Information Administrator (RHIA)
    • Registered Health Information Technician (RHIT)
    • Certified in Healthcare Compliance (CHC)
    • Certified Emergency Department Coding Specialist (CEDC)
    • Certified OBGYN Coding Specialist (COBGC)
    • Certified Orthopedic Surgical Coding Specialist (COSC)

What Would Be Nice to Have:

  • Experience supporting federal health programs, Medicare-based payment models, or large payer environments.
  • Exposure to authorization, utilization management, payment integrity, or claims analytics initiatives where coding decisions affect operational or financial outcomes.
  • Experience working with analytics or technical teams to translate coding and reimbursement logic into business rules, validation criteria, or operational requirements.
  • Familiarity with specialty-specific coding areas such as emergency medicine, orthopedics, behavioral health, women's health, durable medical equipment, or surgical/procedural services.

What We Offer:

  • Medical, Rx, Dental & Vision Insurance
  • Personal and Family Sick Time & Company Paid Holidays
  • Position may be eligible for a discretionary variable incentive bonus
  • Parental Leave and Adoption Assistance
  • 401(k) Retirement Plan
  • Basic Life & Supplemental Life
  • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
  • Short-Term & Long-Term Disability
  • Student Loan PayDown
  • Tuition Reimbursement, Personal Development & Learning Opportunities
  • Skills Development & Certifications
  • Employee Referral Program
  • Corporate Sponsored Events & Community Outreach
  • Emergency Back-Up Childcare Program
  • Mobility Stipend

Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation. Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process. If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties. Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee. group id: 91075284

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