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Hourly Medical Coding Billing Jobs in Virginia (NOW HIRING)

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Hourly Medical Coding Billing information

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

Hourly medical coding and billing professionals often encounter challenges such as managing fluctuating workloads, keeping up with frequent updates to coding standards (like ICD-10 or CPT changes), and ensuring accuracy to avoid claim denials. Staying organized and dedicating time for regular training can help manage these challenges. Additionally, clear communication with healthcare providers and payers is essential to resolve discrepancies quickly and maintain efficient workflow.

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

AspectHourly Medical Coding BillingMedical Coding Specialist
CertificationsCPB, CPC, CCSCPB, CPC, CCS
Work EnvironmentHospitals, clinics, billing companiesHospitals, clinics, insurance companies
Job FocusBilling, coding, and reimbursement processesAssigning codes, reviewing medical records
Work HoursTypically hourly, may include overtimeUsually standard hours, hourly or salaried

Hourly Medical Coding Billing professionals focus on coding and billing tasks, ensuring accurate reimbursement, while Medical Coding Specialists primarily assign medical codes based on patient records. Both roles require similar certifications and often work in healthcare settings, but their core responsibilities differ slightly, with billing roles emphasizing reimbursement processes and coding specialists concentrating on code assignment and record review.

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

To thrive as an Hourly Medical Coding Billing specialist, you need a thorough 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 CCS. Familiarity with electronic health record (EHR) systems and billing software is typically required. Attention to detail, organizational skills, and effective communication are critical soft skills for accuracy and coordination with healthcare teams. These competencies ensure accurate billing, reduce claim denials, and support efficient healthcare operations.

What is an hourly medical coding billing job?

Hourly medical coding billing jobs involve reviewing clinical documents, assigning standardized medical codes, and processing billing information for healthcare providers. These professionals work on an hourly wage to ensure accurate coding for diagnoses, procedures, and treatments, which is essential for proper reimbursement from insurance companies. Duties often include verifying patient data, resolving coding discrepancies, and maintaining compliance with healthcare regulations. Many positions are remote, offering flexibility, but they typically require certification and knowledge of medical terminology and coding systems like ICD-10 and CPT.

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 Hourly Medical Coding Billing jobs?

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

Hourly Medical Coding Billing jobs near you
Infographic showing various Hourly Medical Coding Billing job openings in Virginia as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution.

Medical Coding & Reimbursement Specialist Jobs

ClearanceJobs

Mclean, VA • On-site

Other

Medical, Dental, Vision, Life, Retirement

Posted 2 days ago

New

Job description

Senior Medical Coding & Reimbursement Specialist

Job Family: Strategy & Transformation Consulting

Travel Required: Up to 25% Clearance Required: Ability to Obtain Public Trust

What You Will Do:

We are seeking a Senior Medical Coding & Reimbursement Specialist to support federal health programs by providing expertise in healthcare coding, reimbursement, provider billing practices, and claims operations. In this role, you will help shape how coding standards, reimbursement requirements, provider billing workflows, and healthcare service relationships are analyzed, evaluated, and operationalized across clinical, operational, reimbursement, and analytics stakeholders. You will apply knowledge of CPT, HCPCS, ICD-10, modifiers, revenue codes, claims adjudication, and reimbursement methodologies to support consistent decision-making, improve operational understanding, and ensure healthcare services are accurately represented within program processes and supporting frameworks. The ideal candidate brings deep coding and reimbursement expertise combined with an understanding of how healthcare services move from clinical delivery through documentation, coding, billing, adjudication, and payment. Responsibilities will include:

  • Develop, refine, and maintain CPT, HCPCS, ICD-10, modifier, revenue code, and ancillary service code groupings.
  • Support development of code sets that accurately represent episodes of care, treatment pathways, and healthcare services.
  • Research coding guidance, Medicare policies, reimbursement methodologies, and billing requirements to support code inclusion and exclusion decisions.
  • Identify related, supporting, bundled, ancillary, add-on, and downstream services associated with diagnoses and procedures.
  • Validate code sets against Medicare requirements, fee schedules, reimbursement policies, NCCI edits, and coding standards.
  • Review provider billing practices and claims patterns to identify missing, duplicative, or inappropriate code relationships.
  • Document coding rationale, business rules, assumptions, exclusions, and validation findings.
  • Participate in coding reviews, clinical reviews, quality control activities, and stakeholder reviews.
  • Collaborate with clinicians, reimbursement SMEs, and analytics teams to evaluate code inclusion, exclusion, and grouping decisions.
  • Support governance processes, change requests, maintenance activities, and version control efforts.

What You Will Need:

  • 5+ years of experience in medical coding, reimbursement, payment integrity, auditing, compliance, revenue cycle, or claims operations.
  • Strong knowledge of CPT, HCPCS, ICD-10-CM, ICD-10-PCS, revenue codes, modifiers, Medicare reimbursement methodologies, claims adjudication, provider billing workflows, NCCI edits, and fee schedules.
  • Experience working within payer, provider, TPA, Medicare, Medicaid, TRICARE, Commercial, or Federal healthcare environments.
  • Ability to translate coding guidance and reimbursement requirements into operationally actionable code set recommendations.
  • Candidates should possess one or more of the following certifications:
    • Certified Professional Coder (CPC)
    • Certified Outpatient Coder (COC)
    • Certified Professional Medical Auditor (CPMA)
    • Certified Risk Adjustment Coder (CRC)
    • Registered Health Information Administrator (RHIA)
    • Registered Health Information Technician (RHIT)
    • Certified in Healthcare Compliance (CHC)
    • Certified Emergency Department Coding Specialist (CEDC)
    • Certified OBGYN Coding Specialist (COBGC)
    • Certified Orthopedic Surgical Coding Specialist (COSC)

What Would Be Nice to Have:

  • Experience supporting federal health programs, Medicare-based payment models, or large payer environments.
  • Exposure to authorization, utilization management, payment integrity, or claims analytics initiatives where coding decisions affect operational or financial outcomes.
  • Experience working with analytics or technical teams to translate coding and reimbursement logic into business rules, validation criteria, or operational requirements.
  • Familiarity with specialty-specific coding areas such as emergency medicine, orthopedics, behavioral health, women's health, durable medical equipment, or surgical/procedural services.

What We Offer:

  • Medical, Rx, Dental & Vision Insurance
  • Personal and Family Sick Time & Company Paid Holidays
  • Position may be eligible for a discretionary variable incentive bonus
  • Parental Leave and Adoption Assistance
  • 401(k) Retirement Plan
  • Basic Life & Supplemental Life
  • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
  • Short-Term & Long-Term Disability
  • Student Loan PayDown
  • Tuition Reimbursement, Personal Development & Learning Opportunities
  • Skills Development & Certifications
  • Employee Referral Program
  • Corporate Sponsored Events & Community Outreach
  • Emergency Back-Up Childcare Program
  • Mobility Stipend

Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation. Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process. If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties. Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee. group id: 91075284

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