Don’t just find a job, find your WHY at a purpose-driven organization; discover a career at Virginia Premier.
By blending quality benefits, affiliating with the world-renowned VCU Health System and offering career-advancing development programs, we allow our employees to focus on the meaningful work of improving and saving the lives of more than 200,000 people throughout the state of Virginia.
At Virginia Premier, we are building an industry leading health care organization through dedicated teams that have heart, provide top-notch quality member services and embrace our mission of inspiring healthy living within the communities we serve. Our vision is to connect people to innovation, quality and affordable health care for all phases of life.
If this sounds like you, read on!
The Claims Facility Coder is responsible for the internal auditing of UB04 claim accuracy according to the benefits structure, common billing practices and CMS and DMAS policies and procedures. This is to ensure the accurate adjudication of facility healthcare claims payment and/or denials. The Claims Facility Coder must be thoroughly familiar with UB04 claims processing/adjudication processes, reimbursement strategies, contract terms, benefit terms, Medicaid and Medicare rules and regulations, and standard operating procedures. The Claims Facility Coder is also responsible for communicating with internal and external customers on the outcome of the integrity of facility payments for the organization through verification of the accuracy of data-entered information. It is expected that the Claims Facility Coder is able to research and resolve issues, as well as make appropriate decisions as it relates to claims processing. The Claims Facility Coder must also be capable of developing a working relationship with regulatory agencies and third party vendors.
MINIMUM EDUCATION REQUIREMENTS
SPECIAL KNOWLEDGE AND/OR SKILLS
All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. EOE
Our mission is to inspire healthy living within the communities we serve!