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Associate Medical Coding Billing Jobs in Virginia

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Pediatric Associates of Alexandria is looking for an experienced Medical Billing Specialist to join ... coding certification (CPC, CBCS, or equivalent). Company Description Pediatric Associates of ...

The ideal candidate will have expertise in medical coding, claims submission, payer interactions ... Associate'sor Bachelor's degree in Health Information Management, Business, or arelated field ...

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... coding and billing practices. As a part of our team, all employees must maintain strict ... Review and analyze medical records to assign accurate ICD-10, CPT, and HCPCS codes. * Ensure ...

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Associate Medical Coding Billing information

What are Associate Medical Coding Billing professionals?

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, and why are they important?

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.

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

An associate's degree in medical billing and coding can improve 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, certification such as the Certified Professional Coder (CPC) is often required or preferred by employers and can be more critical than the degree alone. Overall, the degree can be valuable, especially when combined with certification and practical experience, to advance in the field.

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.

What is a medical coding associate?

A medical coding associate is a professional responsible for reviewing healthcare documentation and assigning standardized codes to diagnoses, procedures, and services for billing and record-keeping. They typically use coding systems like ICD-10 and CPT and may work in healthcare settings, requiring attention to detail and familiarity with medical terminology and coding software.

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 pays more, CCS or CPC?

For medical coding and billing professionals, Certified Coding Specialist (CCS) credentials generally lead to higher salaries than Certified Professional Coder (CPC) credentials due to the advanced knowledge and specialization involved. CCS-certified coders often work in hospital settings and handle more complex cases, which can result in higher pay. However, salaries also depend on experience, location, and employer type.
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:
What cities in Virginia are hiring for Associate Medical Coding Billing jobs? Cities in Virginia with the most Associate Medical Coding Billing job openings:
Medical Coding Specialist

Medical Coding Specialist

Ensemble Health Partners

Portsmouth, VA • On-site

$20.45 - $24.70/hr

Other

This job post has expired 1 day ago. Applications are no longer accepted.


Ensemble Health Partners rating

6.5

Company rating: 6.5 out of 10

Based on 239 frontline employees who took The Breakroom Quiz

140th of 148 rated financial services


Job description

CAREER OPPORTUNITY OFFERING:

  • Bonus Incentives

  • Paid Certifications

  • Tuition Reimbursement

  • Comprehensive Benefits

  • Career Advancement

  • This position will pay between $20.45 - $24.70/hr based on experience

We are seeking candidates with experience in multiple pro-fee specialties: Hem/Onc, Interventional Radiology, CVTS, Ortho, Podiatry, Wound Care, Rad/ONC, General Surgery, Allergy and ENT, OBGYN, Radiology and Urology

The Medical Coding Specialist position reviews medical record documentation and accurately assign ICD-10-CM, ICD-10-PCS, as well as CPT IV codes based on the specific record type and abstract specific data elements for each case in compliance with federal regulations. This position codes all types of outpatient visits to include ancillary, urgent care, emergency department, observation, same day surgery, and interventional procedures. Follows the Official Guidelines for Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as the American Hospital Association, (AHA) Coding Clinics, CMS directives and Bulletins, Fiscal Intermediary communications. Utilizing Coding Applications in accordance with established workflow.  Follows Policies and Procedures and maintains required quality and productivity standards.

Job Responsibilities:

  • Reviews medical record documentation and accurately assigns appropriate ICD-9-CM, ICD-10, CPT IV, and HCPCS codes utilizing the 3M software tools for all OP Work Types. The assigned codes must support the reason for the visit and the medical necessity that is documented by the provider to support the care provided. When applicable, apply the appropriate charges such as the Evaluation & Management, (E&M) level and injections and infusions, and/or other necessary requirements for Observation cases, using a third party software systems such as LYNX.

  • Correctly abstract required data per facility specifications.

  • Perform "medical necessity checks" for Medicare and other payers as required per payment guidelines.

  • Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and epremis as a team, ensure timely, compliant processing of outpatient claims in the billing system.

  • Responsible to maintain established productivity requirements, key performance indicators established for 3M 360 CAC for CRS & Direct Code as well as ensure accuracy to maintain established quality standards.

  • Remain abreast of current requirements of the Centers for Medicare & Medicaid Services, (CMS) to include National Coverage Determinations, (NCD) and Local Coverage Determinations, (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim the first time through.

  • Maintains competency and accuracy while utilizing tools of the trade, such as the 3M encoder, Computerized Assisted Coding, (CAC) Medical Necessity software, abstracting system, code books, and all reference materials. Reports inaccuracies found in Coding Software to HIM Management/Supervisor, reports any potential unethical and/or fraudulent activity per compliance policy

  • Attends required system, hospital and departmental meetings and educational sessions as established by leadership, as well as completion of required annual learning programs, to ensure continued education and growth.

Experience We Love:

  • 1 year of previous of coding experience

  • PC and Computer application knowledge and experience. Navigational and basic functional expertise in Microsoft business software (Excel, Word, PowerPoint).

  • Excellent organization skills, communication, time management, trouble shooting and problem solving.

  • Ability to multi-task and prioritize needs to meet short- and long-term timelines.

  • Experience with EPIC and previous use of coding software tools.

  • Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences

  • This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require. 

 Minimum Education:

  • High School Diploma or GED

Required Certifications:

  • AAPC or AHIMA Coding Certification: CPC-A, CPC, CCA or CCS

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#LI-REMOTE


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