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Claims Edit Coder Jobs in Virginia (NOW HIRING)

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Claims Edit Coder information

What are the key skills and qualifications needed to thrive as a claims edit coder, and why are they important?

To thrive as a Claims Edit Coder, you need a solid understanding of medical coding (ICD-10, CPT, HCPCS), claims processing, and healthcare regulations, typically supported by a coding certification such as CPC or CCS. Familiarity with electronic health record (EHR) systems, claims editing software, and payer-specific coding guidelines is crucial. Attention to detail, analytical thinking, and effective communication are vital soft skills for accurately identifying and resolving coding errors. These skills ensure correct claim submission, minimize denials, and support timely reimbursement for healthcare providers.

What is a claims edit coder?

Claims Edit Coders are healthcare professionals who review and analyze medical claims to ensure they are coded accurately and comply with insurance and regulatory guidelines. They use specialized coding systems, such as ICD-10, CPT, and HCPCS, to verify that procedures and diagnoses are properly documented. Their work helps prevent billing errors, reduce claim denials, and ensure timely reimbursement for healthcare providers. Claims Edit Coders often collaborate with billing departments and healthcare providers to resolve discrepancies and improve coding accuracy.

What is the difference between Claims Edit Coder vs Claims Processing Specialist?

AspectClaims Edit CoderClaims Processing Specialist
CertificationsCertified Coding Associate (CCA), CPCNone required, but certifications can be beneficial
Work EnvironmentHealthcare facilities, insurance companies, remoteInsurance companies, healthcare providers, office setting
Primary ResponsibilitiesReview and correct claim data, ensure coding accuracyProcess claims from submission to payment, handle inquiries

Claims Edit Coders focus on reviewing and correcting claim data to ensure accurate coding, while Claims Processing Specialists handle the overall processing of claims from submission to resolution. Both roles require knowledge of insurance policies and coding, but Claims Edit Coders are more specialized in coding accuracy, whereas Claims Processing Specialists manage broader claim workflows.

What are some common challenges faced by a claims edit coder, and how can they be addressed?

Claims Edit Coders often encounter challenges such as staying updated with frequent changes in coding regulations and payer-specific requirements. Additionally, coding errors or discrepancies may arise due to incomplete or unclear documentation from providers. To address these issues, it's important to engage in ongoing education, actively communicate with clinical staff for clarification, and utilize reliable coding resources and software. Collaboration with team members and regular training can help maintain accuracy and compliance in claim submissions.
What are popular job titles related to Claims Edit Coder jobs in Virginia? For Claims Edit Coder jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Claims Edit Coder jobs in Virginia look for? The top searched job categories for Claims Edit Coder jobs in Virginia are:
What cities in Virginia are hiring for Claims Edit Coder jobs? Cities in Virginia with the most Claims Edit Coder job openings:
Claims Edit Coder jobs near you
Infographic showing various Claims Edit Coder job openings in Virginia as of August 2026, with employment types broken down into 99% Full Time, and 1% Part Time. Highlights an 77% In-person, and 23% Remote job distribution.

Secretary / Administrative Assistant (5639)

Three Saints Bay

Virginia Beach, VA • On-site

$15 - $20.50/hr

Other

Re-posted 20 days ago

Job description

Secretary / Administrative Assistant (5639)

Location Virginia Beach, VA

Job Code 5639

# of Openings 1

Apply Now (https://phg.tbe.taleo.net/phg01/ats/careers/v2/applyRequisition?org=GATEWAYVENT&cws=55&rid=5639)

Ghostrock , a subsidiary of Three Saints Bay, LLC, and a Federal Government Contractor industry leader, is seeking a Secretary / Administrative Assistant in Virginia Beach, VA.

POSITION RESPONSIBILITIES:

  • Perform office-related duties including operating office equipment, filing documents, word processing, sorting /distributing mail daily, and performing reception duties.

  • Handle, and safeguard classified materials up to the SECRET level, to include the sorting and distribution of classified mail, in accordance with (IAW) DOD Manual 5200.01.

  • Perform access control duties, including the opening and closing of cipher locks for rooms containing classified information up to the SECRET level, when authorized.

  • Assist with Safe Custodian duties for locking up and maintaining classified documents temporarily when required IAW DOD Manual 5200.01.

  • Screen phone calls, incoming correspondence and visitors. Provide telephone coverage Monday through Friday from 0800-1600 local time for each performance site

  • Make complete arrangements for meetings and events. Ensure that agendas, security clearances, briefing materials, and visual aids are prepared and in place.

  • Update telephone lists and coordinate base office relocation for Government employees via ServiceNow.

  • Assist with building representative duties relating to facility maintenance (e.g., putting in or calling in trouble calls for the respective buildings). Assist with safety building representative duties and building fire warden duties relating to safety measures for the respective buildings.

  • Provide data entry support for reports, charts, and metrics.

  • Provide the Government a monthly progress, status and management report to include progress of work, and the status of the program assigned tasking and notification of existing or potential problem areas.

  • Provide a monthly financial report that addresses the status of funding on the Task Order to include total funding provided, labor funding expended, Other Direct Costs (ODCs) billed.

  • Provide the Government with a personnel roster of all personnel

  • Submit a report describing the company's organization, assignment of functions, duties and responsibilities, management procedures and policies, and reporting requirements for the conduct of contractually imposed tasks projects or programs.

  • Notify the Government when contractors enter onto or separate from the Task Order.

  • Track and report the completion status of their mandatory training

  • Correspondence Support:

  • Proofread, format, and edit official correspondence documents IAW SECNAV M-5216.5.

  • Prepare documents, minutes, and action item tracking in support of meetings and video/teleconferences.

  • Collect information from the files or staff for routine inquiries on office programs or periodic reports and refer non-routine requests to appropriate staff members.

  • Timekeeping Support:

  • Provide data entry and review of Government employee timekeeping information in Navy Enterprise Resource Planning (ERP) system IAW NSWCCORDIVINST 12600.2A. 5.2.4

  • Travel Support:

  • Make travel arrangements to include making reservations, preparing travel authorizations, assisting with travel claims, and reviewing all travel documentation IAW DoDI 5154.31, Volume 3 and the Joint Forces Travel Regulation.

  • Assist, coordinate and send security clearance along with other pertinent documentation to Government personnel for Defense Information System for Security. Ensure the accuracy and completeness of all submitted information.

  • Shipping/Supply Support:

  • Input shipping data into Navy ERP and ensure items for shipment are wrapped/packaged IAW NSWCCORDIVINST 7322.1A.

  • Gather and organize supply requests from designated personnel or departments, ensuring all required information is complete and accurate, and submit the complied orders to the Government for review and processing.

  • Records Management:

  • Maintain recurring internal reports, such as time and leave records, office equipment listings, correspondence controls, and training plans.

  • Complete records management tasks IAW SECNAVINST 5210.8F, including labeling folders, files, and cabinets.

  • Submit an Accident Incident Report to the Government for any unusual or non-routine incidents

POSITION REQUIREMENTS:

  • High School Diploma

  • Secret Security Clearance Eligible

  • At least 1 year of relevant experience

Compensation: $ 23.97/hr

VEVRAA Federal Contractor

Three Saints Bay, LLC and its subsidiaries offer a team-oriented working environment and the opportunity to work with exceptional, dedicated industry professionals. We offer our employees a comprehensive benefits package and the opportunity to take part in exciting projects with government and commercial clients, both domestic and international.

We are an Equal Opportunity Employer. We invite resumes from all interested parties without regard to race, color, sex, sexual preference, religion, creed, national origin, age, genetic information, marital or veteran status, disability, or any other category protected by federal, state, or local law.

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