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Coding Specialist Senior
Job Location:
Job Location:
Chesapeake, VA - USA
Monthly Salary:
Not provided by the employer
Monthly Salary:
Posted:
29 September 2026 (6 days ago)
Posted:
Application Deadline:
27 December 2026
Application Deadline:
Vacancies:
1 Vacancy
Vacancies:
Job Summary
The Senior Coding Specialist is responsible for performing coding tasks required to promote efficient operation of the physician practices within Chesapeake Regional Medical Group.
Essential Duties and Responsibilities
The duties and responsibilities described below represent the general tasks performed on a daily basis; other tasks may be assigned.
- Obtain pathology and operative reports from hospital systems.
- Assign and sequence ICD diagnostic procedural and CPT codes to ASC records.
- Identify all complicating conditions/co-morbidities to ensure optimum reimbursement.
- Maintain established productivity requirements.
- Accurately enter various code and charge information into information systems.
- Review appropriate reports for validation of accurate transmission.
- Resolve transmission errors and resubmit claims.
- Report all payments on collection claims to the Collections Specialist(s).
- Attend required hospital-wide orientations meetings and in-services.
- Demonstrate a commitment to flexible work scheduling when necessary to ensure patient care.
- Complete all assigned charge entry coding billing and follow-up in a timely manner.
- HOLD Bucket/worklist; assist and train Billing Representatives for all practices departments and locations.
- Provide back-up phone coverage for all practices departments and locations including patient statement calls and CRMG CRNI and SAS staff support.
- Process refunds and train staff on refunds for all practices departments and locations.
- Manage AIR Aging Wizard activities for all practices departments and locations.
- Conduct internal audits for all practices departments and locations.
- Support new practice go-live implementations.
- Demonstrate comprehension of payer guidelines for appeals overpayments retractions refunds eligibility reconsiderations referrals authorizations payer websites filing limitations denials and attachment requirements to work all claims to a zero balance in a timely manner.
- Retrieve clinical or financial documents from other scanning programs (e.g. OnBase).
- Handle Release of Information requests.
- Participate in and attend approved healthcare/insurance webinars and seminars.
- Maintain up-to-date working knowledge of assigned payors LCD/NCO CPT and ICD-9/ICD-10.
- Attend and participate in monthly billing meetings.
- Report to manager on a weekly or monthly basis regarding scheduled and assigned tasks/projects.
- Create cases for coding team members for any claims in assigned worklists that pertain to coding issues.
- Provide front desk support following go-live implementation of new electronic medical records.
- Possess the ability to fill in as a Patient Service Representative as directed by the manager.
Reporting Structure
Reports To: Practice Office Manager
Supervises: None
Responsibilities: Not applicable
Supervises: None
Responsibilities: Not applicable
Qualifications
To perform this job successfully an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge skill and/or ability required.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Minimum Required Education
- High School Diploma
Preferred Education
- Courses in Medical Terminology and Ancillary Testing
Experience
- One or more years of hospital and/or medical office experience.
- Typing speed of 35 words per minute.
- Proficient knowledge of computer functions and operations.
Certification Requirement
Applicant must have current Certified Professional Coder (CPC) certification or obtain CPC certification within one year of hire date.
Required Experience:
IC
About Company
Chesapeake Regional Healthcare is a health system laser-focused on innovation, known for making medical history in the region and providing patients with truly personal care. Its hospital, Chesapeake Regional Medical Center, is the only independent, community-based acute care hospital ... View more
