Claims Resolution Coder- Remote

Sentara; England; Remote; GBP 100,000 - 125,000; Full time

Job summary

An established industry player is seeking a dedicated medical coder to join their team. In this pivotal role, you will review medical documentation and assign modifiers to insurance claims, ensuring compliance with coding guidelines. Your expertise will help identify and resolve errors while collaborating with various departments to enhance coding accuracy. With a commitment to improving health every day, this forward-thinking company offers competitive compensation and a range of benefits to support your career and personal well-being. If you are passionate about making a difference in healthcare, this opportunity is perfect for you.

Benefits

Medical, Dental, Vision plans

Paid Time Off and Sick Leave

401k/403B with Employer Match

Tuition Assistance

Pet Insurance

Legal Resources Plan

Qualifications

• At least 2 years of direct experience in medical coding and billing.
• CPC or CCS coding certification required at hire.

Responsibilities

• Review medical documentation to assign modifiers to insurance claims.
• Collaborate with staff to resolve coding and billing edits.

Skills

Medical Coding

Billing

Reimbursement

CPT Codes Knowledge

Regulatory Research

Education

High School Diploma

Associate Degree

Job description

City/State

Norfolk, VA

Work Shift

First (Days)

Overview:

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. Collaborates with Coding, Billing, and Reimbursement staff to resolve edits. Also responsible for trending errors, identifying root causes, and communicating effectively with coding and training staff to improve coding accuracy and claims processing. Researches regulations to ensure CPT codes and documentation are accurate.

Education

• High School diploma or equivalent
• Associate degree preferred

Certification/Licensure

• Coding CPC or CCS Certification (Required)

Experience

• Associate degree in Health Information Technology or Medical Billing preferred
• At least 2 years of direct experience in medical coding, billing, or reimbursement in a healthcare setting (hospital or physician office)
• CPC or CCS coding certification required at hire. Knowledge of lab, radiology, ancillary CPT, HCPCS, modifier, and revenue codes, as well as Medicare NOD and LCD guidelines
• Understanding of medical record documentation requirements and ability to interpret documentation

We offer competitive compensation packages, including base pay, incentives, and benefits. The hourly rate for full-time employment ranges from $22.36 to $37.26. Additional compensation may include shift differentials, standby/on-call pay, overtime, premiums, shift incentives, or bonuses.

Benefits: Caring For Your Family and Your Career

• Medical, Dental, Vision plans
• Reimbursement for Adoption, Fertility, and Surrogacy 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
• Reimbursement for certifications and access to CEUs and professional development
• Pet Insurance
• Legal Resources Plan

Sentara Health is an equal opportunity employer and values diversity and inclusion. Our workforce reflects the communities we serve.

In support of our mission "to improve health every day," this is a tobacco-free environment.

Remote work positions are available 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, Wyoming.