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Nurse Practitioner Coding Auditor Jobs in Virginia

Centerwell

Nurse Practitioner

Portsmouth, VA · On-site

Document care and efficiently with support from quality-based coders. * Participate in on-call ... Active, unrestricted NP license in the state of practice. * Experience with value-based care and ...

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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.

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 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 do I become a nurse practitioner coding auditor?

To become a nurse practitioner coding auditor, you typically need a registered nurse (RN) license, experience in clinical practice, and knowledge of medical coding and billing. Many employers prefer candidates with certification in coding, such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS), and strong understanding of healthcare documentation and compliance standards.

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 3% As Needed, 64% Full Time, 15% Part Time, and 18% Contract. Highlights an 99% Physical, and 1% Remote job distribution.

New Nurse Practitioner Opportunity in Richmond, VA $140k + Bonus

Optigy

Richmond, VA • On-site

$140K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 20 days ago

Job description

Nurse Practitioner/(APP) Opportunity Richmond, VA COMPENSATION: Salary $140k + Bonus Role Description: Our APP provides equitable and effective value-based healthcare to local Medicare patient populations. Our Nurse Practitioners are supported by large care teams so our providers can focus on delivering a better quality of care, rather than a volume of services. Our value-based care model and competitive bonuses are structured to reward outcomes, drive low hospital admissions, deliver preventive medicine, and result in an unmatched patient experience. Role: Compensation: Base $120k-$140k (negotiable) Bonus: up to 8k Schedule: Monday-Friday 8am-5pm Patient Volume: 13-16 a day Visits: 20 min. regular visit/ 40 min. full diagnostic and new patient Sees patients on avg. every 3 months (if very complex could see them weekly) Physicians care team: Scribe, MA, Social Worker Equipment at clinic: Labs on site with a phlebotomist/ access to RubiconMD (access to specialist) EMR: Canopy and Greenway Model: Value Based Health Transportation for patients: Van pick up with in 5 miles of clinic Community room patient activities: Exercise, events, yoga, dance, spa days Providers per clinic: Average 3-5 (mix of NP s and Primary Care Physicians) Benefits: Physician Partnership Track 6 weeks of PTO, inclusive of PTO, major holidays, and CME $5000 Continuing Medical Education stipend Tuition reimbursement Provided Health, Vision, Dental, and Life Insurance 401K Investment, up to 4% company match, vested immediately Provided Medical Malpractice Insurance Sign on: Flexibility Required Qualifications: Master of Science in Nursing, Doctor of Nursing Practice, or NP Certificate Program graduate National certification in at least one of the following specialties: Family Nurse Practitioner Adult-Gerontology Primary Care Nurse Practitioner Adult Nurse Practitioner Gerontological Nurse Practitioner Active, non-probationary state Nurse Practitioner license Active DEA license Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs). (preferred) To learn more contact: Nathan LaVanchyOptigy Group Email: nathan.lavanchy@optigygroup.com Call or Text: (314) 439-1661 #PL #PM

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