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SalarySentara is currently seeking a Claims Resolution Coder!
This is a Full Time position with Day shift hours and great benefits!
Remote opportunities available in the following states:
Virginia, North Carolina, Florida, Nevada, Wyoming, South Dakota, Washington, Indiana, Georgia, South Carolina, Tennessee, Texas, West Virginia, Wisconsin, Maryland, Alabama, Delaware, Idaho, Kansas, Louisiana, Maine, Minnesota, Nebraska, New Hampshire, North Dakota, Oklahoma, Pennsylvania, Ohio
Required Qualifications:
High School Diploma or Equivalent
Certified Professional Coder (CPC) or Certified Coding Specialist (CCS)
2 years Minimum of Billing Experience in Healthcare Setting -or-
2 Years Minimum of Coding Experience in Healthcare Setting -or-
2 years Minimum of Reimbursement/Adjudication/Denials Experience in Healthcare Setting
Knowledge of CPT and HCPCS
Knowledge of Medicare NCD and LCD guidelines
Experienced in Microsoft Office
Preferred Qualifications:
Assocaites Degree in Health Information Technology or Medical billing
Knowledge of NCCI policy manual (Medicare)
Primary responsibilities include:
Responsible for reviewing medical documentation to assign modifiers to insurance claims with issues identified by the National Correct Coding Initiative (NCCI), Medicare Outpatient Code Editor (OCE),or other third party payer specific claims processing guidelines
Works with Coding, Billing and Reimbursement staff to resolve edits
Responsible for trending errors, supporting identification of root causes, and effective communication with coding and training staff to improve coding accuracy and clean claims processing
Researches regulations to ensure accuracy of CPT codes and documentation.
As the third-largest employer in Virginia, Sentara Healthcare was named by Forbes Magazine as one of America's best large employers. We offer a variety of amenities to our employees, including, but not limited to:
Medical, Dental, and Vision Insurance
Paid Annual Leave, Sick Leave
Flexible Spending Accounts
Retirement funds with matching contribution
Supplemental insurance policies, including legal, Life Insurance and AD&D among others
Work Perks program including discounted movie and theme park tickets among other great deals
Opportunities for further advancement within our organization
Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For information about our employee benefits, please visit: Benefits - Sentara (sentaracareers.com)
Sentara Healthcare offers employees comprehensive health care and retirement benefits designed with you and your family's well-being in mind. Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met.
For applicants within Washington State, the following hiring range will be applied: $24.93(hourly)to $32.77(hourly).
Join our team! We are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, and growth!
Keywords: Certified Coding Specialist, Certified Professional Coder, Medical Billing and Coding, Medical Reimbursements, CPT Coder, HCPCS Coder, Medicare NCD, Medicare LCD, NCCI, CCS, CPC
- Certified Professional Coder (CPC) - Certification - American Academy of Professional Coders (AAPC)
- Certified Coding Specialist (CCS) - Certification - American Health Information Management Association (AHIMA)
- High School Grad or Equivalent
- Billing 2 years
- Coding 2 years
- Reimbursement 2 years
- Microsoft Word
- Speaking
- Communication
- Time Management
- Judgment and Decision Making
- Writing
- Microsoft Excel
