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Nurse Practitioner Coding Auditor Jobs in Virginia

She Recruits LLC

Nurse Practitioner

Portsmouth, VA · On-site

$90K - $190K/yr

Nurse Practitioner Location: Portsmouth, VA Schedule: On-site | Full Time Category: Advanced ... Familiarity with HCC documentation, ICD-10 coding, and Health Risk Assessments. * Demonstrated ...

Oak St. Health

Nurse Practitioner

Richmond, VA · On-site

$95K - $148K/yr

Nurse Practitioner, Advanced Practice Provider We're building a world of health around every ... Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the opportunity to ...

CVS Health

Nurse Practitioner

Richmond, VA · On-site

$95K - $148K/yr

Nurse Practitioner, Advanced Practice Provider Company: Oak Street Health Address: 3900 Hull Street ... Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the opportunity to ...

CVS Health

Nurse Practitioner

Richmond, VA · On-site

$95K - $148K/yr

Nurse Practitioner, Advanced Practice Provider Company: Oak Street Health Address: 3900 Hull Street ... Coding, and Health Risk Assessments (HRAs). * Passion for teamwork and the opportunity to ...

Humana

Nurse Practitioner

Portsmouth, VA · On-site

Nurse Practitioner (NP) at CenterWell Senior Primary Care The Nurse Practitioner provides health ... Document care and efficiently with support from quality-based coders. * Participate in on-call ...

INOVA Loudoun Hospital

NP - Neurosurgery

Leesburg, VA · On-site

$110K - $142K/yr

Inova Neurosurgery Advanced Practice Provider Inova Neurosurgery is seeking a dedicated Nurse Practitioner and Physician Assistant (NP/PA) to join our team. Positions are available across multiple ...

Dumfries Health Center

NP - Family

Dumfries, VA · On-site

$109K - $138K/yr

... Practice Profession NP Specialty Family Job ID 20267195 Shift Details Shift Full Time Days ... Code 22025 Unit Details Unit Description Spectrum Healthcare Resources (SHR) was established in ...

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Nurse Practitioner Coding Auditor information

What is a nurse practitioner coding auditor?

Nurse Practitioner Coding Auditors are healthcare professionals who review and evaluate medical documentation to ensure that billing codes accurately reflect the care provided by nurse practitioners. They help healthcare organizations comply with regulations, reduce billing errors, and prevent fraud by verifying that coding practices follow established guidelines. These auditors often have clinical backgrounds and specialized knowledge in medical coding, which enables them to interpret clinical notes and ensure proper reimbursement for services rendered.

What is the difference between Nurse Practitioner Coding Auditor vs Medical Coder?

AspectNurse Practitioner Coding AuditorMedical Coder
CredentialsRN license, possibly certification in coding or auditingCertification in medical coding (CPC, CCS)
Work EnvironmentHealthcare facilities, clinics, auditing departmentsMedical offices, coding companies, hospitals
Employer & IndustryHospitals, clinics, healthcare organizationsMedical billing companies, healthcare providers
Search & Comparison IntentUnderstanding auditing roles for nurse practitionersComparing coding roles in healthcare billing

The Nurse Practitioner Coding Auditor focuses on reviewing and ensuring the accuracy of coding related to nurse practitioners' services, often requiring clinical knowledge and auditing certifications. In contrast, Medical Coders primarily handle the translation of medical records into billing codes, with a focus on coding certifications. Both roles are vital in healthcare revenue cycle management but differ in clinical involvement and specific responsibilities.

How does a nurse practitioner coding auditor typically collaborate with clinical staff to ensure accurate documentation and coding?

A Nurse Practitioner Coding Auditor works closely with clinical staff, including nurse practitioners, physicians, and medical coders, to review medical records and ensure that documentation accurately reflects the care provided. They often provide feedback and education to clinicians about coding standards, compliance requirements, and best practices for documentation. Regular meetings and training sessions are common, fostering an environment of continuous improvement and open communication. This collaborative approach helps minimize errors, reduce compliance risks, and improve overall quality of patient records.

What are the key skills and qualifications needed to thrive as a nurse practitioner coding auditor, and why are they important?

To thrive as a Nurse Practitioner Coding Auditor, you need a strong background in nursing or healthcare, in-depth knowledge of medical coding (such as ICD-10 and CPT), and relevant certifications like CPC or CCS-P. Experience with electronic health records (EHRs), coding audit software, and compliance systems is typically required. Attention to detail, analytical thinking, and effective communication are standout soft skills for this role. These skills ensure accurate coding, regulatory compliance, and effective collaboration with clinical staff, directly impacting reimbursement and reducing audit risks.

What are popular job titles related to Nurse Practitioner Coding Auditor jobs in Virginia?

For Nurse Practitioner Coding Auditor jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Nurse Practitioner Coding Auditor jobs in Virginia look for?

The top searched job categories for Nurse Practitioner Coding Auditor jobs in Virginia are:

What cities in Virginia are hiring for Nurse Practitioner Coding Auditor jobs?

Cities in Virginia with the most Nurse Practitioner Coding Auditor job openings:

Nurse Practitioner Coding Auditor jobs near you
Infographic showing various Nurse Practitioner Coding Auditor job openings in Virginia as of August 2026, with employment types broken down into 100% Full Time. Highlights an 90% In-person, and 10% Remote job distribution.

Compliance Coding Auditor

Sentara Healthcare

Norfolk, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 20 days ago

Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 411 frontline employees who took The Breakroom Quiz

494th of 887 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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