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Cpc Coding Jobs in Virginia (NOW HIRING)

Riverside Health System Non-Providers

$24.25 - $27.50/hr

Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) Upon Hire( Preferred) To learn more about being a team member with Riverside Health System visit us at

Riverside

$24.25 - $27.50/hr

Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) Upon Hire( Preferred) To learn more about being a team member with Riverside Health System visit us at

Sentara

Medical Coding Specialist II

Virginia Beach, VA · Remote

$10K/mo

Education High School Diploma or Equivalent (Required) Certification/Licensure Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) (Required) Specialty Coding Certification(s ...

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$16

$29

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How much do cpc coding jobs pay per hour?

As of May 28, 2026, the average hourly pay for cpc coding in Virginia is $29.04, according to ZipRecruiter salary data. Most workers in this role earn between $21.68 and $28.85 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a CPC Coder, and why are they important?

To thrive as a CPC Coder, you need a solid understanding of medical terminology, anatomy, and coding guidelines, typically demonstrated by earning the Certified Professional Coder (CPC) credential. Proficiency with medical coding software, electronic health records (EHR) systems, and familiarity with ICD-10, CPT, and HCPCS coding sets are essential. Attention to detail, analytical thinking, and strong organizational skills help coders ensure accuracy and compliance. These skills are crucial for maximizing reimbursement, minimizing errors, and maintaining regulatory compliance in healthcare billing processes.

What are some common challenges faced by CPC Coders when working with complex medical records?

CPC Coders often encounter challenges when deciphering incomplete or ambiguous documentation in patient records, which can make accurate code selection difficult. They must stay updated on frequent changes in coding guidelines and payer requirements, which adds complexity to their daily tasks. Additionally, balancing productivity with accuracy, especially when working under tight deadlines or high-volume workloads, is a common challenge. Collaboration with physicians and other healthcare staff is essential to clarify documentation and ensure compliance.

What is CPC coding?

CPC coding refers to the process of assigning standardized medical codes to diagnoses, procedures, and services for billing and insurance purposes. CPC stands for Certified Professional Coder, a credential offered by the AAPC that demonstrates expertise in medical coding. CPC coders use systems like CPT, ICD-10-CM, and HCPCS Level II to accurately translate clinical documentation into codes. This ensures healthcare providers are properly reimbursed and helps maintain compliance with regulations.

What is the highest salary for CPC?

The highest salary for a Certified Professional Coder (CPC) can reach over $70,000 annually, especially for experienced coders working in specialized healthcare settings or with advanced certifications. Salaries vary based on experience, location, and employer, with some top earners in large hospitals or private practices earning higher compensation. Continuing education and proficiency in coding tools can also influence earning potential.

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

AspectCpc CodingMedical Billing Specialist
CredentialsCertified Professional Coder (CPC)Billing and Coding Certification (e.g., CPC, CBCS)
Work EnvironmentHospitals, clinics, outpatient facilitiesMedical offices, billing companies, healthcare providers
Primary ResponsibilitiesAssigning codes to diagnoses and proceduresSubmitting claims, follow-up, payment processing
Industry UsageWidely used in coding and documentationUsed in billing, claims processing, revenue cycle management

While both roles involve healthcare documentation, Cpc Coding focuses on assigning accurate medical codes, whereas Medical Billing Specialists handle the billing process and insurance claims. Understanding these differences helps healthcare professionals choose the right career path or job focus.

What are popular job titles related to Cpc Coding jobs in Virginia? For Cpc Coding jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Cpc Coding jobs in Virginia look for? The top searched job categories for Cpc Coding jobs in Virginia are:
Cpc Coding jobs near you
Infographic showing various Cpc Coding job openings in Virginia as of May 2026, with employment types broken down into 76% Full Time, 19% Part Time, and 5% Contract. Highlights an 80% Physical, 10% Hybrid, and 10% Remote job distribution, with an average salary of $60,397 per year, or $29 per hour.
Clinical Nurse Coding Auditor (Full-time, Remote)

Clinical Nurse Coding Auditor (Full-time, Remote)

Integrity Management Services, Inc.

Alexandria, VA • Remote

$29.25 - $33.25/hr

Other

Posted 15 days ago

Job description

Job Title: Clinical Nurse Auditor - Payment Integrity

Job Summary
We are seeking an experienced Clinical Nurse Auditor to join our Payment Integrity team. In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing skills to identify, monitor, and analyze unusual utilization patterns and potential fraud by healthcare providers. You will conduct prepayment claims reviews, post-payment audits, and comprehensive provider record reviews to ensure accurate billing, compliance with payer regulations, and integrity in reimbursement practices. This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a similar credential, through AAPC or AHIMA. Knowledge of commercial insurance plans, Medicare, and Medicaid programs is essential.

How You Will Make an Impact

  • Investigations and Audits: Conduct in-depth medical reviews through prepayment claims review and post-payment auditing to identify potential over-utilization or fraudulent activities.
  • Tool and Policy Development: Assist in the creation of audit tools, policies, procedures, and educational materials to enhance audit effectiveness and maintain high standards in payment integrity.
  • Cross-Departmental Collaboration: Serve as a liaison with service operations and other departments to provide status updates on claims reviews and coordinate actions as needed.
  • Data Analysis and Trending: Analyze performance data to identify patterns and trends, collaborate with service operations to address process improvements, and recommend modifications to medical policy.
  • Fraud Detection Support: Support fraud investigators with medical review expertise to detect and address fraudulent activities.
  • Mentorship: Act as a resource and mentor to other nurse auditors, supporting their professional growth and development in audit practices.

Requirements

Qualifications

  • Education:
    • Minimum Associate's Degree in Nursing required;
  • Licensure & Certification:
    • Current, unrestricted Registered Nurse (RN) license in applicable state(s).
    • Certification in medical coding from AAPC or AHIMA (e.g., CPC, CIC, CDI, or equivalent) is highly preferred.
  • Experience:
    • Minimum 5 years of clinical nursing experience, preferably with exposure to hospital bill auditing or defense auditing.
    • Strong knowledge of provider manuals, reimbursement policies, and medical policy guidelines.
    • Prior experience with healthcare fraud investigation and auditing is highly preferred.
  • Skills:
    • Proficiency in CPT/HCPCS and ICD-10 coding, with a strong foundation in auditing, accounting, and control principles.
    • Analytical and problem-solving skills with a keen attention to detail.
    • Exceptional written and verbal communication skills for clear and effective reporting and provider engagement.
    • Strong proficiency in Microsoft Office and familiarity with audit tracking systems.

Preferred Traits

  • Meticulous, organized, and objective in analyzing claims and documentation.
  • Ethical and responsible, with a commitment to supporting the integrity of healthcare billing and reimbursement.
  • Able to work independently, stay current with rapidly changing healthcare regulations, and thrive in a fast-paced environment.

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