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Remote Cpc Medical Coding Jobs in Virginia (NOW HIRING)

Sentara Health

Clinical Claims Reviewer/ RN

Norfolk, VA · Remote

$66K - $111K/yr

Remote opportunities available in the following states: Virginia, North Carolina, Alabama, Delaware ... Medical Coding certification required within 1 year of hire. Education: * Bachelors Degree in ...

New

Augusta Medical Center

Coder II (Remote)

Fishersville, VA · On-site +1

$23.02 - $35.22/hr

Comprehensive insurance package including medical, dental, and vision coverage * Retirement savings ... Accredited Coding Program * Licensure/Certification: * CCS, RHIT, RHIA * CCA, COC, CIC, CPC-A

Riverside

Certified Coder RMG

Newport, VA · Remote

$23 - $29.90/hr

... remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC ... High School Diploma or GED, Minimum (Required) Experience * 1 year ICD1 Coding (Medical Practice ...

Riverside Health System

Certified Coder RMG

Newport News, VA · On-site +1

$23 - $29.90/hr

... remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC ... High School Diploma or GED, Minimum (Required) Experience * 1 year ICD1 Coding (Medical Practice ...

Augusta Health

Coder II (Remote)

Fishersville, VA · On-site +1

$19 - $25.25/hr

Comprehensive insurance package including medical, dental, and vision coverage * Retirement savings ... Accredited Coding Program * Licensure/Certification: * CCS, RHIT, RHIA * CCA, COC, CIC, CPC-A

UHS

Inpatient Coder

Richmond, VA · On-site +1

$20 - $24.25/hr

Make decision to update DRGs or remote or add to billed diagnose codes based on clinical reviews ... Provide a detailed charge/coding breakdown to assist with medical claims that need to be split ...

UHS

Inpatient Coder

Richmond, VA · On-site +1

$20 - $24.25/hr

Make decision to update DRGs or remote or add to billed diagnose codes based on clinical reviews ... Provide a detailed charge/coding breakdown to assist with medical claims that need to be split ...

Riverside

Compliance Analyst RMG

Newport, VA · Remote

$57K - $78K/yr

... remote work eligible for candidates residing in the following states: FL, GA, ID, KS, KY, MS, NC ... Medical Record Reviews (Required) Licenses and Certifications * Certified Professional Coder (CPC ...

Ennoble Care

Sr. Medical Economics Analyst

Arlington, VA · Remote

$120K - $140K/yr

Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health ... Collaborate with revenue cycle and coding teams to optimize documentation and billing accuracy.

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Remote Cpc Medical Coding information

What is a remote CPC medical coder?

Remote CPC Medical Coders are certified professionals who assign standardized codes to medical diagnoses, procedures, and services for healthcare providers, but work from a remote location such as their home. CPC stands for Certified Professional Coder, a designation offered by the AAPC that demonstrates expertise in medical coding. These coders review medical records, ensure accurate coding for insurance billing, and help healthcare organizations remain compliant with regulations. Working remotely, they utilize secure software and maintain patient confidentiality while collaborating virtually with healthcare teams.

What are the key skills and qualifications needed to thrive as a remote CPC medical coder?

To thrive as a Remote CPC Medical Coder, you need strong knowledge of medical terminology, anatomy, coding guidelines, and a Certified Professional Coder (CPC) certification. Familiarity with coding software (such as EncoderPro or 3M), electronic health records (EHR) systems, and HIPAA compliance is essential. Attention to detail, self-motivation, and effective written communication are crucial soft skills for accuracy and remote collaboration. These skills ensure precise coding, regulatory compliance, and efficient workflow in a remote healthcare environment.

What are some common challenges faced by remote CPC medical coders, and how can they be addressed?

Remote CPC Medical Coders often encounter challenges such as limited direct communication with healthcare providers, ensuring data security, and maintaining productivity without onsite supervision. To overcome these, it's helpful to establish regular check-ins with team members, utilize secure coding platforms, and create a structured daily routine. Staying up to date with coding guidelines and actively participating in virtual meetings can also enhance collaboration and accuracy in coding assignments.

What are popular job titles related to Remote Cpc Medical Coding jobs in Virginia?

For Remote Cpc Medical Coding jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Remote Cpc Medical Coding jobs in Virginia look for?

The top searched job categories for Remote Cpc Medical Coding jobs in Virginia are:

What cities in Virginia are hiring for Remote Cpc Medical Coding jobs?

Cities in Virginia with the most Remote Cpc Medical Coding job openings:

Remote Cpc Medical Coding jobs near you
Infographic showing various Remote Cpc Medical Coding job openings in Virginia as of September 2026, with employment types broken down into 95% Full Time, and 5% Part Time. Highlights an 100% Remote job distribution.

Clinical Claims Reviewer/ RN

Norfolk, VA • Remote

Sentara Health
Hospitals • 10K+ employees
Learn more about Sentara Healthexternal

$66K - $111K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New

Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 417 frontline employees who took The Breakroom Quiz

Job description

City/State
Norfolk, VA
Work Shift
First (Days)
Overview:
Sentara Health Plansis hiring a Clinical Claims Reviewer/ RN - Remote!
Status: Full-time,permanent position (40 hours)

Standard working hours: 8am to 5pm EST, M-F.
Remote opportunities available in the following states: Virginia, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington (state), West Virginia, Wisconsin, Wyoming
Job responsibilities:
  • RN Clinician is responsible for performing utilization management services within the scope of licensure. Primary responsibilities include conducting comprehensive claim reviews both pre and post payment as well as authorization review covering inpatient, outpatient, concurrent and retrospective cases. This role also addresses provider post-payment inquiries and reconsiderations including referrals to Medical Directors as appropriate. Ensures compliance with health plan policy and other regulatory agencies such as Bureau of Insurance (BOI), National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), and Virginia Department of Medical Assistance Services (DMAS). Reviews are based on member eligibility and benefits, health plan medical policy, vendor specific guidelines and policies, MCG, DMAS and CMS criterion according to the member's plan. Responsible for written notification of review decision to providers (LOB specific). Facilitates accreditation by knowing, understanding, correctly interpreting and accurately applying accrediting and regulatory requirements and standards.
  • RN Clinician is responsible for reviewing provider post-payment inquiries and claim reconsiderations to ensure accurate coding in accordance with established coding guidelines, CMS guidelines, Health Plan Coding Payment Policy, and Claim Payment Policy. This includes evaluating correct code selection, appropriate use of modifiers, code bundling, unlisted codes, excessive procedures of the same type, procedures incompatible with the diagnosis, maximum frequency exceeded, and other coding edits. RN Clinician applies clinical knowledge and coding expertise to promote compliance, accuracy, and appropriate reimbursement. RN BSN Required. Must possess 3 years of acute care clinical experience. Previous Utilization Review and Post Payment Review a plus. MCG experience preferred. Knowledge of NCQA Preferred. Requires strong verbal, written and interpersonal communication skills, problem solving skills, facilitation skills and analytic skills. Medical Coding certification required within 1 year of hire.

Education:
  • Bachelors Degree in Nursing REQUIRED

Certification/Licensure
  • Registered Nurse (RN) License (Compact or Virginia) REQUIRED
  • Certified Professional Coder (CPC) preferred

Experience:
  • 3 years of acute care clinical experience REQUIRED
  • Health Plan experience preferred
  • Claims or post payment reconsideration experience is preferred

Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.
We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health.
We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: $66,830.4 - $111,384. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-105056
Talroo - Nursing
Clinical Claims Reviewer, A ppeals, Denials, Utilization management, Registered Nurse, BSN, ADN, Nursing, Managed Care, MCO, Health Plan, Virginia, RN, VA, North Carolina, 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 (state), West Virginia, Wisconsin, Wyoming
We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay range for full-time employment is $93,350.40 - $132,433.60 annually. Additional compensation may be available for this role, such as shift differentials, standby/on-call pay, overtime, shift premiums, extra-shift incentives, or bonus opportunities. Compensation within the range may vary based on qualifications, experience, location, market conditions, and business needs. Note: If an annual salary is posted, it is based on a full-time colleague working 2,080 hours annually.
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 ifestablished 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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