Medical Coding Specialist

Sanderson Firm PLLC; United States; Remote; USD 50,000 - 65,000; Full time

Benefits offered by this job

Employer-paid medical

Dental & Vision Coverage

401(k) with Company Match

Company-Paid Life Insurance

Short Term Disability

Paid Time Off & Holidays

Supportive team culture

Job summary

Sanderson Firm seeks a Medicare Coding Specialist to research, dispute, and finalize potential reimbursement obligations for clients. The role involves coordinating with Medicare entities and plan contractors, with a focus on accurate, timely, and compliant outcomes.

Ideal candidates have an Associate degree and 1–3 years in a customer service or administrative role, strong communication skills, and the ability to work remotely in a fast-paced environment.

Qualifications

• Associates degree preferred with 1–3 years in customer service/administrative work.
• Demonstrates strong customer service skills and ability to work remotely.
• Proficient in MS Word, Outlook, and Excel; strong written and verbal communication.

Responsibilities

• Verifies eligibility for Medicare, Medicare Advantage and Part D plans.
• Verifies SSD entitlement and researches conditional payments or liens.
• Reviews correspondence to assess recovery action accuracy and disputes.
• Communicates with clients to confirm claim details and identify dispute opportunities.
• Applies medical and legal reasoning to support dispute strategies.
• Prepares and submits disputes and appeals to Medicare entities.
• Ensures timely follow-up to meet turnaround times.
• Maintains status updates with management and seeks support when needed.
• Adheres to confidentiality and company policies on safety and standards.
• Performs additional duties as assigned by supervisors.

Skills

Associate degree

Customer service

Remote work

Microsoft Word/Outlook/Excel

Strong communication

Time management

Education

Associate degree

Job description

Sanderson Firm is a woman-owned company specializing in Medicare Secondary Payer (MSP) compliance services. Our team of legal and clinical professionals brings more than 700 years of combined MSP industry experience, serving insurance carriers, self-insured companies, third-party administrators, and governmental entities across the country.

Recognized as one of the fastest-growing MSP compliance companies, Sanderson Firm was ranked #92 on the 2025 Inc. 5000 list of fastest-growing privately held companies in America. We are proud of our 100% client retention rate and our reputation for delivering innovative solutions that help clients achieve MSP-compliant settlements.

At Sanderson Firm, you'll join a fast-growing, collaborative team where your work makes a meaningful impact on our clients and the industry. We are committed to fostering a supportive environment where employees are valued, ideas are encouraged, and contributions directly help shape the future of our firm. Join us today!

The Medicare Coding Specialist is responsible for researching, disputing, and finalizing potential financial reimbursement obligations for our clients. This role requires interaction not only with our clients, but with Medicare recovery contractors, Medicare Advantage Plans and their subrogation contractors, Part D Prescription Drug plans and the Department of Treasury. This position requires an ability to understand complex and varying recovery processes, a high level of productivity in a task based/process driven environment, exceptional analytical skills and attention to detail and excellent written and verbal communication skills.

JOB RESPONSIBILITIES:

• Performs eligibility verifications for Medicare, Medicare Advantage, and Part D plans.
• Verifies Social Security Disability (SSD) entitlement.
• Conducts initial research across Medicare benefit plans to determine the existence of conditional payments or lien obligations.
• Reviews and analyzes correspondence from Medicare benefit plans to assess the accuracy of recovery actions.
• Communicates with client partners to validate claim information and identify opportunities for dispute or lien reduction.
• Applies complex medical and legal reasoning to support dispute strategies.
• Prepares and submits comprehensive disputes and appeals to the appropriate Medicare entities.
• Ensures timely and efficient follow-up on all cases to meet established turnaround times.
• Maintains regular communication with management regarding the status of verifications, disputes, appeals, and related services, and identifies when additional support is needed.
• Adheres to all company policies, including those related to safety, confidentiality, and organizational standards.
• Performs additional duties as assigned by supervisors.

QUALIFICATIONS:

• Associate degree preferred, along with 1-3 years of relevant experience in a customer service and/or administrative role.
• Demonstrates strong customer service skills.
• Works remotely in a productive and efficient manner.
• Proficient in multiple software programs, including but not limited to Microsoft Word, Outlook, and Excel.
• Exhibits strong communication skills, including conveying information accurately, listening effectively, and asking clarifying questions when needed.
• Follows instructions and responds appropriately to management direction.
• Possesses excellent command of the English language, including grammar, punctuation, and style.
• Works independently while effectively prioritizing tasks and managing time.
• Maintains focus and multitasks effectively in a fast-paced environment.
• Maintains confidentiality and handles sensitive information with discretion.
• Contributes to and promotes a positive, team-oriented environment.
• Performs effectively under pressure and in stressful situations.
• Adapts to change, delays, and unexpected events.
• Demonstrates reliability and consistently adheres to company attendance policies.

What We Offer You

• 100% Employer-Paid Medical Insurance options for employees
• Dental & Vision Coverage
• 401(k) with Company Match
• Company-Paid Life Insurance
• Optional Short Term Disability, Accident Insurance and more
• Paid Time Off & Holidays
• Supportive and team-oriented culture