IPA Consultative Coder
Suffolk, VA · On-site +1
You will be the primary coding and documentation resource for assigned providers, supporting ... These skills enable effective, clear, and sensitive engagement with clinicians and team members ...
Suffolk, VA · On-site +1
You will be the primary coding and documentation resource for assigned providers, supporting ... These skills enable effective, clear, and sensitive engagement with clinicians and team members ...
Suffolk, VA · On-site +1
You will be the primary coding and documentation resource for assigned providers, supporting ... These skills enable effective, clear, and sensitive engagement with clinicians and team members ...
Fishersville, VA · On-site +1
$19 - $25.25/hr
With opportunities across clinical and non-clinical areas, Augusta Health is a place where your ... Generates coding queries to physicians to clarify patient condition(s) when conflicting or ...
Fishersville, VA · On-site +1
$19 - $25.25/hr
With opportunities across clinical and non-clinical areas, Augusta Health is a place where your ... Generates coding queries to physicians to clarify patient condition(s) when conflicting or ...
Chesapeake, VA · On-site +1
You will be the primary coding and documentation resource for assigned providers, supporting ... These skills enable effective, clear, and sensitive engagement with clinicians and team members ...
Chesapeake, VA · On-site +1
You will be the primary coding and documentation resource for assigned providers, supporting ... These skills enable effective, clear, and sensitive engagement with clinicians and team members ...
Virginia Beach, VA · On-site +1
You will be the primary coding and documentation resource for assigned providers, supporting ... These skills enable effective, clear, and sensitive engagement with clinicians and team members ...
Virginia Beach, VA · On-site +1
You will be the primary coding and documentation resource for assigned providers, supporting ... These skills enable effective, clear, and sensitive engagement with clinicians and team members ...
Fishersville, VA · On-site +1
$23.02 - $35.22/hr
With opportunities across clinical and non-clinical areas, Augusta Health is a place where your ... Generates coding queries to physicians to clarify patient condition(s) when conflicting or ...
Fishersville, VA · On-site +1
$23.02 - $35.22/hr
With opportunities across clinical and non-clinical areas, Augusta Health is a place where your ... Generates coding queries to physicians to clarify patient condition(s) when conflicting or ...
Virginia Beach, VA · On-site
$10K/mo
Job Title Risk Coder Location Virginia Beach, VA Work Shift First (Days) * Performs compliance ... Coordinates risk adjustment gap elimination with clinical and quality gap elimination. * Maintains ...
Virginia Beach, VA · On-site
$10K/mo
Job Title Risk Coder Location Virginia Beach, VA Work Shift First (Days) * Performs compliance ... Coordinates risk adjustment gap elimination with clinical and quality gap elimination. * Maintains ...
Virginia Beach, VA · On-site
$16.50 - $22/hr
Coordinates risk adjustment gap elimination with clinical and quality gap elimination Maintains a ... Coding - 2 years ( Required ) Certifications: One of the following certifications are required:
Virginia Beach, VA · On-site
$16.50 - $22/hr
Coordinates risk adjustment gap elimination with clinical and quality gap elimination Maintains a ... Coding - 2 years ( Required ) Certifications: One of the following certifications are required:
Newport News, VA · On-site +1
$23 - $29.90/hr
Audits for documentation opportunities and queries clinical staff to fill in any gaps to clarify ... Coding accuracy must be maintained at 90% or better. * Meets productivity per standards set by ...
Newport News, VA · On-site +1
$23 - $29.90/hr
Audits for documentation opportunities and queries clinical staff to fill in any gaps to clarify ... Coding accuracy must be maintained at 90% or better. * Meets productivity per standards set by ...
Newport, VA · Remote
$23 - $29.90/hr
Audits for documentation opportunities and queries clinical staff to fill in any gaps to clarify ... Coding accuracy must be maintained at 90% or better. * Meets productivity per standards set by ...
Newport, VA · Remote
$23 - $29.90/hr
Audits for documentation opportunities and queries clinical staff to fill in any gaps to clarify ... Coding accuracy must be maintained at 90% or better. * Meets productivity per standards set by ...
Indian Neck, VA · On-site
$50K/yr
Assisted providers and clinical staff by providing guidance on documentation requirements, coding guidelines, and common deficiencies affecting reimbursement and quality measures. * Participated in ...
Indian Neck, VA · On-site
$50K/yr
Assisted providers and clinical staff by providing guidance on documentation requirements, coding guidelines, and common deficiencies affecting reimbursement and quality measures. * Participated in ...
Providence Forge, VA · On-site
$50K/yr
Assisted providers and clinical staff by providing guidance on documentation requirements, coding guidelines, and common deficiencies affecting reimbursement and quality measures. * Participated in ...
Providence Forge, VA · On-site
$50K/yr
Assisted providers and clinical staff by providing guidance on documentation requirements, coding guidelines, and common deficiencies affecting reimbursement and quality measures. * Participated in ...
Aylett, VA · On-site
$50K/yr
Assisted providers and clinical staff by providing guidance on documentation requirements, coding guidelines, and common deficiencies affecting reimbursement and quality measures. * Participated in ...
Aylett, VA · On-site
$50K/yr
Assisted providers and clinical staff by providing guidance on documentation requirements, coding guidelines, and common deficiencies affecting reimbursement and quality measures. * Participated in ...
Newport, VA · Remote
$23 - $29.90/hr
Audits for documentation opportunities and queries clinical staff to fill in any gaps to clarify ... Coding accuracy must be maintained at 90% or better. * Meets productivity per standards set by ...
Newport, VA · Remote
$23 - $29.90/hr
Audits for documentation opportunities and queries clinical staff to fill in any gaps to clarify ... Coding accuracy must be maintained at 90% or better. * Meets productivity per standards set by ...
Assisted providers and clinical staff by providing guidance on documentation requirements, coding guidelines, and common deficiencies affecting reimbursement and quality measures. * Participated in ...
Assisted providers and clinical staff by providing guidance on documentation requirements, coding guidelines, and common deficiencies affecting reimbursement and quality measures. * Participated in ...
Assisted providers and clinical staff by providing guidance on documentation requirements, coding guidelines, and common deficiencies affecting reimbursement and quality measures. * Participated in ...
Assisted providers and clinical staff by providing guidance on documentation requirements, coding guidelines, and common deficiencies affecting reimbursement and quality measures. * Participated in ...
Assisted providers and clinical staff by providing guidance on documentation requirements, coding guidelines, and common deficiencies affecting reimbursement and quality measures. * Participated in ...
Assisted providers and clinical staff by providing guidance on documentation requirements, coding guidelines, and common deficiencies affecting reimbursement and quality measures. * Participated in ...
Madison Heights, VA · On-site
$50K/yr
Assisted providers and clinical staff by providing guidance on documentation requirements, coding guidelines, and common deficiencies affecting reimbursement and quality measures. * Participated in ...
Madison Heights, VA · On-site
$50K/yr
Assisted providers and clinical staff by providing guidance on documentation requirements, coding guidelines, and common deficiencies affecting reimbursement and quality measures. * Participated in ...
Aylett, VA · On-site
$50K/yr
Assisted providers and clinical staff by providing guidance on documentation requirements, coding guidelines, and common deficiencies affecting reimbursement and quality measures. * Participated in ...
Aylett, VA · On-site
$50K/yr
Assisted providers and clinical staff by providing guidance on documentation requirements, coding guidelines, and common deficiencies affecting reimbursement and quality measures. * Participated in ...
Assisted providers and clinical staff by providing guidance on documentation requirements, coding guidelines, and common deficiencies affecting reimbursement and quality measures. * Participated in ...
Assisted providers and clinical staff by providing guidance on documentation requirements, coding guidelines, and common deficiencies affecting reimbursement and quality measures. * Participated in ...
Suffolk, VA · On-site
$50K/yr
Assisted providers and clinical staff by providing guidance on documentation requirements, coding guidelines, and common deficiencies affecting reimbursement and quality measures. * Participated in ...
Suffolk, VA · On-site
$50K/yr
Assisted providers and clinical staff by providing guidance on documentation requirements, coding guidelines, and common deficiencies affecting reimbursement and quality measures. * Participated in ...
$28.8K - $33.4K
4% of jobs
$33.4K - $38K
14% of jobs
$38K - $42.7K
4% of jobs
$45.9K is the 25th percentile. Wages below this are outliers.
$42.7K - $47.3K
4% of jobs
$47.3K - $52K
4% of jobs
$52K - $56.6K
12% of jobs
The median wage is $58.8K / yr.
$56.6K - $61.2K
17% of jobs
$61.2K - $65.9K
16% of jobs
$66K is the 75th percentile. Wages above this are outliers.
$65.9K - $70.5K
13% of jobs
$70.5K - $75.2K
6% of jobs
$75.2K - $79.8K
6% of jobs
$28.8K
$56.9K
$79.8K
A Clinical Coder is responsible for translating medical diagnoses, procedures, and treatments into standardized codes used for billing, healthcare records, and insurance purposes. They analyze patient records and apply classification systems such as ICD-10 and CPT to ensure accurate and consistent data entry. Clinical Coders work in hospitals, clinics, and healthcare organizations, playing a vital role in healthcare administration. Their work helps with reimbursement, research, and healthcare planning. Strong attention to detail and a thorough understanding of medical terminology, anatomy, and coding guidelines are essential for this role.
To thrive as a Clinical Coder, you need a solid understanding of medical terminology, anatomy, and clinical procedures, usually backed by a relevant qualification in health information management or medical coding. Familiarity with coding systems like ICD-10, CPT, and specialized medical coding software is essential, and certifications such as CCS, CPC, or equivalent are highly valued. Attention to detail, analytical thinking, and effective communication are important soft skills for success in this field. Mastering these skills ensures accurate translation of clinical data into standardized codes, which is critical for billing, compliance, and healthcare quality reporting.
Clinical Coders often encounter challenges such as deciphering incomplete or unclear clinical documentation, staying current with frequent updates to coding standards, and managing high volumes of records within tight deadlines. These professionals must constantly collaborate with healthcare providers to clarify details and ensure that codes accurately reflect the care delivered. Adapting to new coding software or changes in healthcare regulations can also be part of the job. However, these challenges offer valuable opportunities for growth and skill development, and strong problem-solving abilities can help you excel in this dynamic field.
The most popular types of Clinical Coder jobs in Virginia are:
For Clinical Coder jobs in Virginia, the most frequently searched job titles are:
The top searched job categories for Clinical Coder jobs in Virginia are:

Suffolk, VA • On-site, Remote
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Re-posted 15 days ago
Provide medical coding expertise and consultative support to IPA affiliates and their providers.
Support providers by analyzing coding trends, conducting quarterly chart reviews, and delivering targeted education to improve coding accuracy and documentation practices.
Assist with daily coding workflows, support internal coding tools, participate in real-time helpdesk support, and collaborate with leadership to identify and address coding gaps.
9.0
Based on 10 frontline employees who took The Breakroom Quiz
Relationship Management and Provider Support
Be the primary contact for assigned IPA providers for all coding and documentation-related inquiries.
Build consultative relationships with providers to support continuous improvement in coding accuracy and documentation practices.
Deliver targeted education based on provider-specific trends and opportunities identified through chart reviews and coding analytics.
Quarterly Chart Reviews and Education
Conduct quarterly chart reviews for assigned providers to evaluate coding accuracy, documentation integrity, and risk capture opportunities.
Develop and deliver comprehensive education based on findings, including documentation best practices and coding optimization strategies.
Identify trends and recurringgaps, andpartner with education and leadership teams to address systemic opportunities.
Coding Tools, Workflow Support, and Operations
Support daily operations of internal coding solutions, including Annual Proof of Documentation (APD 2.0) and any future tools implemented based on organizational needs.
Assist providers in navigating coding workflows, resolving issues, and ensuring successful use of coding tools.
Monitor and support completion of coding activities tied to assigned providers.
IPA Coding Helpdesk Support
Participate in a daily coder helpdesk (virtual/Zoom-based), providing real-time support to providers within assigned markets.
Address immediate coding and documentation questions, ensuring accurate guidance.
Maintain a high level of responsiveness and provider engagement.
HCC Outage and Recapture Support
Support HCC outage management through structured reviews of "assessed but not coded" conditions.
Conduct targeted reviews to identify missed coding opportunities and provide education to improve recapture performance.
Collaborate with analytics and leadership teams to track and improve performance outcomes.
Required Qualifications:
3+ years of risk adjustment MedicalCodingor riskadjustmentProviderEducation
Intermediate/advanced competency with MS Office based programs (Excel, Word, PowerPoint)
Must be certified at least one of the following: CCS, CRC, or CPC
Must resideand be able to travelwithin the assigned MSO market or region.
Preferred Qualifications:
Strong communication and interpersonal skills are essential. These skills enable effective, clear, and sensitive engagement with clinicians and team members, even in high-pressure or stressful situations. They also facilitate presenting, influencing, and building credibility at all levels of the organization.
Positive, collaborative mindset with an ability to foster partnerships across Coding, Audit and Education, PCO, and Humana teams.
Additional Information
We ask that youhave the ability totravel locally for in-office provider support.
Standard working hours required; based on market needs.
Travel may be required based on provider engagement and business needs.
Work Information:
This role requires an in-center presence, involving daily commute to assigned clinic(s) and occasional (quarterly) travel within the market to alternative clinic(s) for strategic meetings.
Workstyle: Hybrid/remote
Location:Must residewithin 50 milesof Chesapeake, Suffolk or Virginia Beach, Virginia
Hours:Monday-Friday, 8:00 AM-5:00 PM; additional time may be required.
TB Statement:
This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Driving Statement:
This role is part of our company's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance.Individualmust carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.
Work at Home Statement
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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