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Executive Medical Coding Billing Jobs in Virginia

C-MCI

Medical Billing Specialist

Fairfax, VA · On-site +1

$18.50 - $24/hr

The ideal candidate will have expertise in medical coding, claims submission, payer interactions, and denial management, ensuring optimized billing practices for maximum reimbursement and minimal ...

Dominion Womens Health Inc

Be Seen First

Ob/Gyn Medical Coder & Biller

Mechanicsville, VA · On-site

$17 - $22/hr

... 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 ...

Dominion Womens Health Inc

Be Seen First

Ob/Gyn Medical Coder & Biller

Mechanicsville, VA · On-site

$17 - $22/hr

... 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 ...

Sentara Healthcare

Benefits Coding Analyst

Richmond, VA · On-site +1

CIC is required for advancement to Level 2 and Level 3 Experience: • 2+ years of medical coding or billing experience specifically within reimbursement, coding, claims processing, claims auditing ...

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All JobsMedical Coding Billing JobsExecutive Medical Coding Billing JobsExecutive Medical Coding Billing Jobs in Virginia

Executive Medical Coding Billing information

What is an executive medical coding billing professional?

An Executive Medical Coding Billing professional is responsible for overseeing and managing the processes of medical coding and billing within a healthcare organization. They ensure that medical records are accurately coded using standardized classification systems and that billing procedures comply with regulations and insurance requirements. This executive role often includes supervising teams, implementing compliance policies, resolving billing issues, and optimizing revenue cycle management. Their expertise helps healthcare facilities maximize reimbursement while maintaining legal and ethical standards.

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

To excel as an Executive Medical Coding Billing professional, you need a deep understanding of medical terminology, coding systems (such as ICD-10, CPT, and HCPCS), and billing procedures, typically backed by relevant certifications like CPC or CCS. Familiarity with medical billing software, electronic health record (EHR) systems, and insurance claim platforms is essential. Strong attention to detail, analytical thinking, and effective communication distinguish top performers in this role. These skills are crucial to ensure accurate coding, timely reimbursements, and compliance with healthcare regulations.

What are some common challenges faced by executive medical coding billing professionals, and how can they be addressed?

Executive Medical Coding Billing professionals often encounter challenges such as keeping up with frequent updates in coding standards (like ICD-10, CPT, and HCPCS), ensuring accurate documentation for reimbursement, and coordinating with both clinical and administrative teams. Addressing these challenges requires continuous education, attention to detail, and strong communication skills to clarify ambiguities with healthcare providers. Many organizations support professional development through ongoing training and encourage collaboration among coders, billers, and clinical staff to minimize errors and improve workflow efficiency.

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

AspectExecutive Medical Coding BillingMedical Coding Specialist
CertificationsAHIMA/AAPC certifications, advanced coding credentialsCertified Professional Coder (CPC), CPC-H, or CCS
Work EnvironmentHealthcare administration, management, oversight rolesMedical offices, hospitals, outpatient clinics
Job FocusOverseeing billing processes, compliance, team managementAssigning codes, ensuring accurate billing

Executive Medical Coding Billing roles typically involve overseeing coding and billing operations, requiring advanced certifications and management skills. Medical Coding Specialists focus on accurate code assignment and billing at the operational level. Both roles are essential in healthcare revenue cycle management but differ in responsibilities and seniority.

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 Executive Medical Coding Billing jobs?

Cities in Virginia with the most Executive Medical Coding Billing job openings:

Executive Medical Coding Billing jobs near you
Infographic showing various Executive Medical Coding Billing job openings in Virginia as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution.

Medical Billing Specialist

C-MCI

Fairfax, VA • On-site, Remote

$18.50 - $24/hr

Full-time

Re-posted 14 days ago

Job description


Position: Medical Billing Specialist
Location: Remote / On-site
Department: Revenue Cycle Management
Overview:
CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management, and contribute valuable insights to develop AI-powered tools that enhance medical billing workflows. The ideal candidate will have expertise in medical coding, claims submission, payer interactions, and denial management, ensuring optimized billing practices for maximum reimbursement and minimal claim rejections.
Why Join CMCI?
  • Opportunityto work with cutting-edge AI-driven billing solutions that optimizeRCM efficiency.
  • Work in acollaborative environment with healthcare and AI professionals.
  • Competitivesalary, benefits, and professional development opportunities.

Key Responsibilities:
  • ClaimsProcessing & Submission:
    • Accuratelyprocess, review, and submit medical claims.
    • Verify CPT,ICD-10, and HCPCS codes to ensure claims compliance withpayer-specific policies.
    • Work withclearinghouses and insurance payers to track claims and resolve denials,rejections, and underpayments efficiently.
  • Revenue CycleManagement (RCM):
    • Oversee theentire claims lifecycle, from eligibility verification to final paymentreconciliation.
    • Monitoraccounts receivable (A/R) aging reports and ensure timely follow-upon outstanding claims.
    • Optimizepayer reimbursement rates by leveraging contractual agreements andcoding best practices.
  • Payer &Compliance Coordination:
    • Utilize thepayer lookup database to retrieve Payer IDs and transactiontypes for accurate claim submission.
    • Ensurecompliance with Medicare, Medicaid, and private insuranceguidelines to prevent fraud and billing errors.
    • Stay updatedon coding changes, regulatory requirements, and payer policies tomaintain accuracy in claims processing.
  • Technology& AI Development Support:
    • Provideinsights into billing workflows, common claim errors, and automationopportunities to improve AI-driven billing tools.
    • Assist intesting and refining AI-powered RCM solutions, including automated claimsscrubbing and predictive denial management.
    • Collaboratewith the engineering and data science teams to train AI models forenhanced claims accuracy.

Requirements
Required Qualifications:
  • Education& Certification:
    • Associate'sor Bachelor's degree in Health Information Management, Business, or arelated field (preferred).
    • CertifiedProfessional Biller (CPB) or Certified Professional Coder(CPC) (preferred).
  • Experience:
    • 2+ years ofexperience in medical billing, claims processing, or revenue cyclemanagement.
    • Strongknowledge of CPT, ICD-10, and HCPCS coding systems.
    • Experienceworking with Medicare, Medicaid, and commercial insurance payers.
  • TechnicalSkills:
    • Proficiencywith billing and practice management software such as:
      • ElectronicHealth Records Systems: Epic, Cerner, Athenahealth
      • Clearinghouseplatforms: Emdeon, Availity, Change Healthcare, Waystar, Kareo
    • Experiencewith ANSI X12 837 EDI claims processing.
    • Strong Exceland data analysis skills for tracking claim performance.
    • Familiaritywith AI-based RCM tools is a plus.
  • Soft Skills:
    • Stronganalytical and problem-solving skills for identifying claimdiscrepancies.
    • Excellentcommunication and collaboration skills to liaise with providers andpayers.
    • Ability towork independently and in a team environment in a fast-pacedsetting.

Join CMCI to help revolutionize the future of AI-powered medical billing!
All qualified applicants will receive consideration for employment without regard to any characteristic protected by local, state, or federal laws, rules, or regulations

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