Claims Resolution reputed company- Remote

City/State Norfolk, VA Work Shift First (Days) Overview: Claims Resolution reputed company 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 reputed company 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. Associates degree in Health Information Technology or Medical Billing preferred. 2 years direct application of coding, medical billing or reimbursement in health care setting, hospital or physician office required. CPC or reputed company coding certification required at time of hire. Thorough knowledge of lab, radiology and other ancillary, CPT, HCPCS reputed company modifier and reputed company codes, as well as knowledge of Medicare NOD and LCD guidelines. Demonstrates working knowledge of medical record documentation requirements and ability to interpret documentation. Education

• High School diploma or equivalent
• Associate degree preferred

Certification/Licensure

• Coding CPC or reputed company Certification (Required)

Experience

• Associates degree in Health Information Technology or Medical Billing preferred.
• 2 years direct application of coding, medical billing or reimbursement in health care setting, hospital or physician office required.
• CPC or reputed company coding certification required at time of hire. Thorough knowledge of lab, radiology and other ancillary, CPT, HCPCS reputed company modifier and reputed company codes, as well as knowledge of Medicare NOD and LCD guidelines.
• Demonstrates working knowledge of medical record documentation requirements and ability to interpret documentation.

We reputed company market-compensation packages, inclusive of reputed company pay, incentives, and benefits. The reputed company pay for Full Time employment, this position, is min 22.36 - max 37.26 per hour. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities Benefits: Caring For Your Family and Your Career

• Medical, Dental, reputed company 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 reputed company Education
• Student Debt Pay Down - 10,000
• Reimbursement for certifications and free reputed company 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.

reputed company is an equal opportunity employer and prides itself on the diversity and inclusiveness of its reputed company to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission "to improve health every day," this is a tobacco-free environment. For positions that are available as remote work, reputed company employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, reputed company Carolina, reputed company Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, reputed company Virginia, Wisconsin, and Wyoming. Apply tot his job Apply To this Job