Claims Resolution Coder/CPC/CCS- Remote
Claims Resolution Coder/CPC/CCS- Remote

Claims Resolution Coder/CPC/CCS- Remote

England Full-Time 28800 - 43200 £ / year (est.) No home office possible
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At a Glance

  • Tasks: Review medical docs and assign modifiers to insurance claims.
  • Company: Sentara Health is a top employer in Virginia, recognized for excellence.
  • Benefits: Enjoy remote work, health insurance, paid leave, and awesome perks!
  • Why this job: Join a vibrant team making communities healthier with opportunities for growth.
  • Qualifications: High School Diploma, CPC or CCS certification, and 2 years of healthcare billing or coding experience.
  • Other info: Remote positions available in multiple states; flexible hours!

The predicted salary is between 28800 - 43200 £ per year.

Sentara is currently seeking a Claims Resolution Coder-Remote

This is a Full Time position with Day shift hours.

Remote opportunities available in the following states:

Virginia, North Carolina, Alabama, Delaware, Florida, Georgia, Kansas, Idaho, Indiana, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Washington State, West Virginia, Wyoming, Wisconsin.

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:

  • Associates 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 Health 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

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Claims Resolution Coder/CPC/CCS- Remote employer: Sentara Healthcare Inc

Sentara Health is an exceptional employer, recognized as one of America's best large employers by Forbes Magazine. With a commitment to employee well-being, we offer comprehensive benefits including medical, dental, and vision insurance, along with generous paid leave and retirement plans. Our vibrant work culture fosters professional growth and advancement opportunities, making it an ideal place for those seeking meaningful and rewarding careers in the healthcare sector.
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Contact Detail:

Sentara Healthcare Inc Recruiting Team

StudySmarter Expert Advice 🤫

We think this is how you could land Claims Resolution Coder/CPC/CCS- Remote

✨Tip Number 1

Make sure to highlight your coding certifications, like CPC or CCS, during any conversations you have. These credentials are crucial for this role and can set you apart from other candidates.

✨Tip Number 2

Familiarize yourself with the specific guidelines mentioned in the job description, such as Medicare NCD and LCD guidelines. Being able to discuss these in detail will show your expertise and readiness for the position.

✨Tip Number 3

Network with current or former employees of Sentara Health on platforms like LinkedIn. They can provide insights into the company culture and what they look for in candidates, which can be invaluable during your interview.

✨Tip Number 4

Prepare to discuss your experience with billing and coding in healthcare settings. Be ready to share specific examples of how you've resolved claims issues or improved coding accuracy in your previous roles.

We think you need these skills to ace Claims Resolution Coder/CPC/CCS- Remote

Certified Professional Coder (CPC)
Certified Coding Specialist (CCS)
Billing Experience in Healthcare Setting
Coding Experience in Healthcare Setting
Reimbursement/Adjudication/Denials Experience in Healthcare Setting
Knowledge of CPT and HCPCS
Knowledge of Medicare NCD and LCD guidelines
Proficiency in Microsoft Office
Attention to Detail
Analytical Skills
Effective Communication Skills
Problem-Solving Skills
Research Skills
Ability to Work Remotely
Team Collaboration

Some tips for your application 🫡

Understand the Job Requirements: Make sure to thoroughly read the job description for the Claims Resolution Coder position. Highlight the required qualifications such as CPC or CCS certification and relevant experience in healthcare billing or coding.

Tailor Your Resume: Customize your resume to reflect your experience in healthcare settings, particularly focusing on your coding, billing, or reimbursement experience. Include specific examples of how you've used CPT and HCPCS codes in your previous roles.

Craft a Strong Cover Letter: Write a cover letter that emphasizes your qualifications and passion for the role. Mention your familiarity with Medicare guidelines and your ability to work collaboratively with coding and billing teams to resolve issues.

Proofread Your Application: Before submitting your application, carefully proofread all documents for any errors or typos. Ensure that your contact information is correct and that your application presents you in the best light possible.

How to prepare for a job interview at Sentara Healthcare Inc

✨Showcase Your Coding Credentials

Make sure to highlight your Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification during the interview. This is crucial for demonstrating your qualifications and expertise in coding, which is a key requirement for the role.

✨Demonstrate Your Billing Experience

Be prepared to discuss your minimum of 2 years of billing or coding experience in a healthcare setting. Share specific examples of how you've handled claims, resolved issues, and worked with coding guidelines to show your practical knowledge.

✨Familiarize Yourself with Relevant Guidelines

Brush up on your knowledge of CPT, HCPCS, and Medicare NCD and LCD guidelines. Being able to discuss these topics confidently will show that you are well-prepared and understand the complexities of the coding process.

✨Communicate Effectively

Since the role involves working with various teams, practice articulating your thoughts clearly. Highlight your experience in collaborating with coding, billing, and reimbursement staff to resolve edits and improve accuracy, as effective communication is key in this position.

Claims Resolution Coder/CPC/CCS- Remote
Sentara Healthcare Inc
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  • Claims Resolution Coder/CPC/CCS- Remote

    England
    Full-Time
    28800 - 43200 £ / year (est.)

    Application deadline: 2027-03-12

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    Sentara Healthcare Inc

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