Remote Claims Coding Specialist (CPC/CCS)

DaMar Staffing; Virginia (IL); Remote; USD 53,000 - 71,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

Paid Time Off

401k / 403B with Employer Match

Tuition Assistance - $5,250 / year and

Job summary

Sentara Health is seeking a remote Claims Resolution Coder to review medical documentation and assign modifiers to claims according to NCCI, OCE, and payer guidelines. You will collaborate with coding and reimbursement teams to resolve edits and improve accuracy.

The ideal candidate has an associates degree in HIM or Medical Billing, and a CPC or CCS certification with 2 years of relevant experience in healthcare coding. Remote eligibility is supported in many states.

Qualifications

• Associates degree in Health Information Technology or Medical Billing preferred.
• CPC or CCS Certification required at time of hire.
• 2 years direct application of coding, medical billing or reimbursement in health care setting, hospital or physician office required.
• Thorough knowledge of lab, radiology and other ancillary CPT/HCPCS modifiers and revenue codes; knowledge of Medicare NOD and LCD guidelines.

Responsibilities

• Review medical documentation to assign modifiers to insurance claims per NCCI, OCE or payer guidelines.
• Collaborate with Coding, Billing and Reimbursement staff to resolve edits and improve claim accuracy.
• Identify error trends, support root-cause analysis, and communicate findings to coding/training staff.

Skills

Medical coding

CPC or CCS Certification

Healthcare reimbursement

HIPAA compliance

Education

Associates degree in Health Information Technology or Medical Billing

High School Diploma or equivalent

Tools

CPT

HCPCS

NCCI guidelines

OCE

Job description

Sentara Health is seeking a remote Claims Resolution Coder to review medical documentation and assign modifiers to claims according to NCCI, OCE, and payer guidelines. You will collaborate with coding and reimbursement teams to resolve edits and improve accuracy.

The ideal candidate has an associates degree in HIM or Medical Billing, and a CPC or CCS certification with 2 years of relevant experience in healthcare coding. Remote eligibility is supported in many states.