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Sentara Health · 20 hours ago

Claims Resolution Coder- Remote

United States

Full-time

Remote

Entry, Mid Level

$22.36/hr - $37.26/hr

2+ years exp

Sentara Health is a healthcare organization dedicated to improving health every day. The Claims Resolution Coder is responsible for reviewing medical documentation, assigning modifiers to insurance claims, and collaborating with staff to enhance coding accuracy.

Hospital & Health Care

H1B Sponsor Likely

Responsibilities

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

Is additionally 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

Qualification

CPC coding certificationCCS coding certificationMedical billing experienceHealth Information TechnologyCPT codesHCPCS codesCommunication skillsProblem-solving skills

Required

2 years direct application of coding, medical billing or reimbursement in health care setting, hospital or physician office

CPC or CCS coding certification

Thorough knowledge of lab, radiology and other ancillary, CPT, HCPCS related modifier and revenue codes

Knowledge of Medicare NOD and LCD guidelines

Demonstrates working knowledge of medical record documentation requirements and ability to interpret documentation

Preferred

Associates degree in Health Information Technology or Medical Billing

Benefits

Medical, Dental, Vision plans

Adoption, Fertility and Surrogacy Reimbursement 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 free access to complete CEUs and professional development

Pet Insurance

Legal Resources Plan

Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

Company

Sentara Health

Glassdoor3.7

Sentara Health, an integrated, not-for-profit health care delivery system, celebrates more than 135 years in pursuit of its mission - "we improve health every day." Sentara is one of the largest health systems in the U.S.

Founded in 1988

Hampton Roads, VA, US

10001+ employees

http://www.sentara.com

H1B Sponsorship

Sentara Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (30)

2024 (7)

2023 (1)