IPA Consultative Coder
Suffolk, VA · On-site +1
You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an ...
Suffolk, VA · On-site +1
You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an ...
Suffolk, VA · On-site +1
You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an ...
Williamsburg, VA · On-site +1
You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an ...
Williamsburg, VA · On-site +1
You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an ...
Hampton, VA · On-site +1
You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an ...
Hampton, VA · On-site +1
You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an ...
Chesapeake, VA · On-site
You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an ...
Chesapeake, VA · On-site
You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an ...
Newport News, VA · On-site +1
You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an ...
Newport News, VA · On-site +1
You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an ...
Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP ... Charge Analyst opening. We promptly review all applications. Highly qualified candidates will be ...
Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP ... Charge Analyst opening. We promptly review all applications. Highly qualified candidates will be ...
Chesapeake, VA · On-site +1
You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an ...
Chesapeake, VA · On-site +1
You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an ...
Virginia Beach, VA · On-site +1
You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an ...
Virginia Beach, VA · On-site +1
You will analyze trends, triage, and answer questions in real-time, as well as research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. As an ...
Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP ... Charge Analyst opening. We promptly review all applications. Highly qualified candidates will be ...
Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP ... Charge Analyst opening. We promptly review all applications. Highly qualified candidates will be ...
Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP ... Charge Analyst opening. We promptly review all applications. Highly qualified candidates will be ...
Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP ... Charge Analyst opening. We promptly review all applications. Highly qualified candidates will be ...
Chesapeake, VA · On-site
$18.25 - $24.25/hr
Analyze and correct denied claims requiring coding review across multiple specialties * Collaborate with billing and coding teams to ensure clean claims and timely reimbursement * Participate in ...
Quick apply
Chesapeake, VA · On-site
$18.25 - $24.25/hr
Analyze and correct denied claims requiring coding review across multiple specialties * Collaborate with billing and coding teams to ensure clean claims and timely reimbursement * Participate in ...
Virginia Beach, VA · On-site +1
The ideal candidate demonstrates strong analytical skills, coding accuracy, and attention to detail while ensuring compliance with regulatory guidelines and organizational standards. This role ...
Virginia Beach, VA · On-site +1
The ideal candidate demonstrates strong analytical skills, coding accuracy, and attention to detail while ensuring compliance with regulatory guidelines and organizational standards. This role ...
Chesapeake, VA · On-site
$18.25 - $24.25/hr
Analyze and correct denied claims requiring coding review across multiple specialties * Collaborate with billing and coding teams to ensure clean claims and timely reimbursement * Participate in ...
Chesapeake, VA · On-site
$18.25 - $24.25/hr
Analyze and correct denied claims requiring coding review across multiple specialties * Collaborate with billing and coding teams to ensure clean claims and timely reimbursement * Participate in ...
Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP ... Charge Analyst opening. We promptly review all applications. Highly qualified candidates will be ...
Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP ... Charge Analyst opening. We promptly review all applications. Highly qualified candidates will be ...
Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP ... Charge Analyst opening. We promptly review all applications. Highly qualified candidates will be ...
Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP ... Charge Analyst opening. We promptly review all applications. Highly qualified candidates will be ...
Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP ... Charge Analyst opening. We promptly review all applications. Highly qualified candidates will be ...
Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP ... Charge Analyst opening. We promptly review all applications. Highly qualified candidates will be ...
Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP ... Charge Analyst opening. We promptly review all applications. Highly qualified candidates will be ...
Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP ... Charge Analyst opening. We promptly review all applications. Highly qualified candidates will be ...
Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP ... Charge Analyst opening. We promptly review all applications. Highly qualified candidates will be ...
Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP ... Charge Analyst opening. We promptly review all applications. Highly qualified candidates will be ...
Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP ... Charge Analyst opening. We promptly review all applications. Highly qualified candidates will be ...
Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP ... Charge Analyst opening. We promptly review all applications. Highly qualified candidates will be ...
Richmond, VA · On-site
$115K - $207K/yr
Manager of DRG Coding Audit-Program/Project Locations: The selected candidate must reside within a ... Analysis of audit trends, DRG shifts, and using financial outcomes to inform strategy. Plans ...
Richmond, VA · On-site
$115K - $207K/yr
Manager of DRG Coding Audit-Program/Project Locations: The selected candidate must reside within a ... Analysis of audit trends, DRG shifts, and using financial outcomes to inform strategy. Plans ...
$45.1K - $51.5K
11% of jobs
$51.5K - $57.9K
14% of jobs
$58.3K is the 25th percentile. Wages below this are outliers.
$57.9K - $64.3K
13% of jobs
$64.3K - $70.7K
7% of jobs
The median wage is $72.7K / yr.
$70.7K - $77.1K
19% of jobs
$81.6K is the 75th percentile. Wages above this are outliers.
$77.1K - $83.5K
17% of jobs
$83.5K - $89.9K
18% of jobs
$89.9K - $96.3K
2% of jobs
$96.3K - $102.7K
0% of jobs
$102.7K - $109.1K
0% of jobs
$109.1K - $115.5K
0% of jobs
$45.1K
$73.6K
$115.5K
| Aspect | Coding Analyst | Data Analyst |
|---|---|---|
| Required Credentials | Certification in coding standards, healthcare coding certifications (e.g., CPC) | Statistics, data analysis certifications, degrees in related fields |
| Work Environment | Healthcare facilities, insurance companies, medical billing departments | Business, finance, healthcare organizations, data-driven environments |
| Employer & Industry Usage | Healthcare, insurance, medical billing | Various industries including finance, marketing, healthcare |
| Common Search & Comparison Intent | Understanding coding roles, certifications, job duties | Analyzing data, interpreting trends, reporting |
The main difference between a Coding Analyst and a Data Analyst lies in their focus areas. Coding Analysts specialize in medical coding, requiring healthcare-specific certifications and working primarily in healthcare and insurance sectors. Data Analysts, on the other hand, analyze data across various industries, often holding degrees in statistics or related fields. Both roles involve data handling but serve different organizational needs and environments.
A coding analyst is a health care professional whose job duties involve medical billing, coding, and compliance. As a coding analyst, you're responsible for ensuring that all medical coding in documents and patient files is accurate. You also provide support to senior analysts, evaluate billing and reimbursement documentation, and determine whether the files meet federal regulations. Qualifications for this career include a few years of experience in a similar role and sound knowledge of medical coding regulations. Some employers may require certification in professional coding. Skills such as attention to detail, strong research capabilities, and excellent written and verbal communication are essential.

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 4 days ago
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.
Sourced by ZipRecruiter