City/State Richmond, VA Work Shift First (Days) Overview: Sentara Health is looking to hire a Remote Benefits Coding Analyst. This position is remote however, candidates must be able to commute to our Richmond location. The Benefits Coding Analyst – Certified Professional Coder maintains the integrity of the plan benefits for each program and is responsible for developing an extensive expertise of all plan benefits. The Benefits Coding Analyst will work closely with multiple teams across the Health Plan, including but not limited to Claims, Compliance, Program, IT, and Health Services/Medical Management to ensure benefits are compliant with state and Federal guidelines, as well as aligned with Program benefit offerings. This position is responsible for synthesizing the input from multiple stakeholders to inform significant business decisions regarding benefit implementation as well as coordinating and maintaining benefit design documentation for the organization. The Benefits Coding Analyst will research, code, and assist with the development of benefit and utilization review policies and criteria for emerging treatments, technology, medications, and health plan services. This role will assist in researching code updates, authorization requests, and claim questions, updating business rules and benefit repositories as appropriate. Education: - Associate Degree in Healthcare (preferred) Certification: • Certified Professional Coder certification (CPC) (required) • Certified Inpatient Coder (CIC) (preferred) • Medical Assistant Certification (preferred) Note: CIC is required for advancement to Level 2 and Level 3 Experience: • 2+ years of medical coding or billing experience specifically within reimbursement, coding, claims processing, claims auditing and /or various payment methodologies (required) • Experience in both established benefit coding environments as well as experience in determination of coding requirements for new benefits (preferred) • Experience resolving billing and claims issues related to benefit to code assignment. •Thorough knowledge of anatomy and medical terminology • Expertise with NCCI (National Correct Coding Initiative) guidelines • Knowledge or direct experience processing Government program or commercial health claims for an MCO • Experience with ICD-10 CM, CPT, HCPCS, QNXT. Keywords: Talroo-Allied Health, Healthcare, Coding, CPC, CIC, Billing, Claims, Auditing, ICD-10 CM, CPT, HCPCS, QNXT and Revenue coding in a managed care setting Benefits: Caring For Your Family and Your Career • 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. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close 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, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Role Description We are seeking a meticulous and detail-oriented Medical Coder specializing in professional services, particularly ENT Surgery, Evaluation and Management (E&M) and tangential services. The ideal candidate will possess a strong understanding of coding guidelines, regulations, and reimbursement methodologies relevant to professional services in healthcare. Wound care knowledge would be beneficial to this position. Responsibilities - Accurately assign CPT, HCPCS, and ICD-10 codes for professional services, focusing on Evaluation and Management encounters and associated tangential services. - Review medical documentation to ensure coding compliance with regulatory and organizational guidelines. - Collaborate with healthcare providers and coding auditors to resolve coding discrepancies or documentation issues. - Maintain proficiency in current coding practices, regulations, and industry updates to ensure accurate and up-to-date coding. - Support internal teams by providing coding insights, education, and training on best practices related to professional services coding. - Identify and communicate potential compliance risks or areas for improvement in coding processes. Qualifications - Certified Professional Coder (CPC) credential or equivalent certification required (e.g., CCS-P, COC). - Proven experience in professional services coding, particularly in ENT Surgery and Evaluation and Management coding. - Strong knowledge of CPT, HCPCS, ICD-10 coding guidelines, and regulatory requirements related to professional services. - Proficiency in using coding software and electronic health record (EHR) systems. - Excellent analytical skills and attention to detail in reviewing medical documentation. - Ability to work independently and collaboratively in a fast-paced environment. - Effective communication skills to interact with healthcare providers, auditors, and internal teams. Benefits - Competitive compensation package - Health, dental, and vision insurance - Retirement savings plans - Generous paid time off - Opportunities for professional development - A collaborative and supportive work environment focused on growth and success - This is a remote position.

Where You’ll Work From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours. Job Summary and Responsibilities As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate patients’ medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. - Accurately abstract information from the medial records into the appropriate coding systems, ensuring compliance with established guidelines. - Determine the most appropriate diagnosis after a thorough review of the medical records. Work closely with practice staff with regards to coding and assignment of a MS-DRGs (Diagnosis Related Group) and APCs (Ambulatory Payment Classification). - Code medical records using ICD-9-CM and CPT-4 coding rules and guidelines. Ensure through and compliant coding to support patient records and submission of billing for payment. - Accurately sequence diagnostic and procedural codes according to organization specified procedures and assigns MSDRG/APC as appropriate. Provide codes various departments upon request. - Enter and validate charges using appropriate tools and validates diagnoses with the medical documentation provided. - Compare charges on accounts with the procedures coded and identifies any discrepancies. Notify Coding Manager of any discrepancies’ and collaborates as needed to rectify the account. Job Requirements Required - Certified Professional Coder, upon hire or - Certified Professional Coder Hospital Apprentice, upon hire or - Certified Professional Coder Apprentice, upon hire or - Certified Coding Associate, upon hire or - Cardiology Coding, upon hire or - Certified Coding Specialist, upon hire or - Certified Coding Specialist - Physician Based, upon hire or - Certified Cardiovascular and Thoracic Surgery Coder, upon hire or - Certified Health Care Compliance, upon hire or - Certified Interventional Radiology Cardio Coder, upon hire or - Certified Professional Coder Hospital, upon hire or - Radiology Certified Coder, upon hire or - Registered Health Information Administrator, upon hire or - Registered Health Information Technician, upon hire Preferred - Prior Healthcare Billing Experience

💼 About the Role Are you a newly certified medical coder looking to launch your career in a dynamic and fast-growing healthcare environment? Join a federally certified Independent Review Organization (IRO) that provides expert medical review services to government agencies, insurers, TPAs, and self-funded employers. This is a unique opportunity to be part of a team supporting a high-impact initiative driven by the No Surprises Act, with a mission to resolve complex claim disputes and ensure fair payment outcomes. **CANDIDATES WITH PREVIOUS MEDICAL CODING EXPERIENCE WILL NOT BE CONSIDERED** 🔍 What You’ll Do - Review and validate claim data to determine appropriate payment outcomes. - Analyze CPT codes and supporting documentation to identify the correct party in disputed claims. - Work primarily with emergency services claims, including ambulance and air ambulance cases. - Operate within a proprietary claims management system. - Collaborate with internal teams to clear a significant backlog of cases. Note: This is not a coding-heavy role. You’ll use your coding knowledge to interpret and validate claims, not to perform coding tasks. 🧠 What You Bring - CPC or CPC-A certification (required). - 2-3 years of Medical Collections experience - must have experience with denials/appeals (required) - Familiarity with emergency services billing is a plus, but not required. - Strong attention to detail and ability to make objective decisions. - Adaptability and eagerness to contribute to a newly built team. 🌟 Why You’ll Love It Here - Be part of a federally certified IDR entity with a permanent increase in business volume. - Gain exposure to high-impact healthcare legislation (No Surprises Act). - Work in a supportive environment that values entry-level talent and provides growth opportunities. - Help shape the future of fair medical billing practices. Ready to make a difference in healthcare claims resolution? Apply now and bring your coding knowledge to a role that values precision, fairness, and impact. Job Type & LocationThis is a Contract to Hire position based out of Dallas, TX. Pay and BenefitsThe pay range for this position is $25.00 - $25.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace TypeThis is a fully remote position. Application DeadlineThis position is anticipated to close on Mar 31, 2026. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.