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Medical Coding Hcc Episource Jobs in Virginia (NOW HIRING)

Sentara Healthcare

Compliance Coding Auditor

Norfolk, VA · On-site +1

... HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment ... Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility ...

Sentara Health Plans

Compliance Coding Auditor

Norfolk, VA · On-site

$80 - $100/hr

... HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment ... Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • ...

Sentara Healthcare

Compliance Coding Auditor

Norfolk, VA · On-site +1

... HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment ... Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility ...

Ennoble Care

Sr. Medical Economics Analyst

Arlington, VA · Remote

$120K - $140K/yr

Develop and maintain sophisticated risk-adjusted provider group performance models using CMS-HCC ... Collaborate with revenue cycle and coding teams to optimize documentation and billing accuracy.

TekSky

Superintendent

Richmond, VA · On-site

... HCC is dedicated to delivering high-quality craftsmanship tailored to the needs of medical ... An understanding of local building codes and regulations in Virginia * High school diploma or ...

She Recruits LLC

Nurse Practitioner

Portsmouth, VA · On-site

$90K - $190K/yr

Familiarity with HCC documentation, ICD-10 coding, and Health Risk Assessments. * Demonstrated ... Medical, dental, vision, and life insurance * 401(k) with company match and retirement planning ...

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Medical Coding Hcc Episource information

What is a medical coding HCC specialist at Episource?

Medical Coding HCC (Hierarchical Condition Category) roles at Episource involve reviewing patient medical records to accurately assign diagnosis codes according to HCC guidelines. Coders play a crucial part in ensuring proper risk adjustment and compliance with healthcare regulations, which helps determine reimbursement rates for healthcare providers. These professionals must have a deep understanding of ICD-10-CM coding, medical terminology, and HCC risk adjustment models. At Episource, coders may work remotely or on-site, collaborating with other clinical and operational teams to maintain high standards of data accuracy and integrity.

What skills and qualifications are needed to thrive as a medical coding HCC specialist at Episource?

To thrive as a Medical Coding HCC specialist at Episource, you need a strong understanding of ICD-10-CM coding, risk adjustment, and healthcare regulations, often demonstrated by a relevant certification such as CPC, CRC, or CCS. Familiarity with coding software, electronic health record (EHR) systems, and Episource-specific platforms is typically required. Attention to detail, analytical thinking, and effective communication are crucial soft skills for ensuring accurate code assignment and collaborating with clinical teams. These skills are essential to maximize coding accuracy, ensure compliance, and support proper reimbursement in value-based care environments.

What are common challenges faced by medical coding HCC specialists at Episource and how can they be addressed?

Medical Coding HCC professionals at Episource often encounter challenges such as interpreting complex medical records, staying updated with evolving coding guidelines, and ensuring accuracy in risk adjustment documentation. To address these, it's important to engage in ongoing training, utilize company-provided resources, and collaborate closely with quality assurance teams. Regular communication with providers and other coders also helps clarify ambiguities and maintain coding accuracy, contributing to both personal development and overall team success.

What is the difference between Medical Coding Hcc Episource vs Medical Coding Specialist?

AspectMedical Coding Hcc EpisourceMedical Coding Specialist
CertificationsAHIMA or AAPC certifications, HCC coding trainingAHIMA or AAPC certifications, general coding credentials
Work EnvironmentHealthcare organizations, insurance companies, remote optionsHospitals, clinics, physician offices, remote work possible
Industry UsageFocus on risk adjustment, HCC coding for Medicare AdvantageGeneral medical coding across various specialties

Medical Coding Hcc Episource specializes in risk adjustment coding, particularly HCC coding for Medicare Advantage plans, often requiring specific training. Medical Coding Specialist roles cover broader medical coding tasks across multiple healthcare settings. While both roles require coding certifications, Hcc Episource focuses on risk adjustment, making it more specialized compared to the general scope of Medical Coding Specialists.

Is medical coding worth it in 2026?

Medical coding, including HCC coding roles like those at Episource, remains a valuable career due to ongoing healthcare industry growth and the demand for accurate medical record documentation. Certified coders with knowledge of coding systems and compliance standards are likely to find stable employment opportunities in the coming years.

What are popular job titles related to Medical Coding Hcc Episource jobs in Virginia?

For Medical Coding Hcc Episource jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Medical Coding Hcc Episource jobs in Virginia look for?

The top searched job categories for Medical Coding Hcc Episource jobs in Virginia are:

What cities in Virginia are hiring for Medical Coding Hcc Episource jobs?

Cities in Virginia with the most Medical Coding Hcc Episource job openings:

Medical Coding Hcc Episource jobs near you
Infographic showing various Medical Coding Hcc Episource job openings in Virginia as of August 2026, with employment types broken down into 73% Full Time, and 27% Contract. Highlights an 74% In-person, and 26% Remote job distribution.

Compliance Coding Auditor

Sentara Healthcare

Norfolk, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 15 days ago

Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 417 frontline employees who took The Breakroom Quiz

495th of 898 rated healthcare providers

Job description

City/State
Norfolk, VA
Work Shift
First (Days)
Overview:
Compliance Coding Auditor
Performs a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits. The internal audit program assures optimal ethical reimbursement for Sentara's patients, and also assures that the coding practices fall within established compliance guidelines.
Both ICD and CPT coding methodologies are used in the internal audit activity. The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment methodology, including the impact on Relative Value Unit (RVU) value related to Non-Physician Practitioner (NPP) services, Provider Based Billing (PBB) locations, and all other complex coding protocols within one year.
All queries arising from the audit process are managed by the Compliance Auditor. Follows audit plan, completing numerous audits and providing follow-up to coders, management, and physicians. Looks for new problem areas, trends, etc., and advises Manager of Audit and Coding Compliance. Works with leadership regarding scheduling of internal and external audits.
Education
  • Associate Level degree preferred but required

Certification/Licensure
  • CPC or CCS certification (Required)

Experience
  • 4+ years of experience with multi-specialty coding (Required)
  • 4+ years of experience with acute care outpatient coding (Required)
  • Professional fee coding experience (Required)

Remote work opportunity preferred candidates in the Virginia/North Carolina geographic location
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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