Medical Billing and Coding Specialist

About This Role

This specialist role involves the daily review and submission of medical claims for a family practice, focusing on accurate coding and resolving billing errors. The position is ideal for a detail-oriented individual with expertise in medical billing and coding, dedicated to ensuring compliance and educating staff.

Responsibilities

• Review claims daily for a family practice consisting of 1 Physician and 3 Physician Assistants
• Bill for ancillary services such as Ultrasounds, NeuralScan testing, Holter monitor, and Eye Camera
• Manage accounts receivable through the Practice Hold bucket, including submitting medical records for appeals and correcting coding errors for resubmission
• Review day-to-day claims for errors after automated claim creation
• Submit claims daily for Physician Assistant and Nurse visits
• Ensure diagnoses meet the highest specifications to assist with HCC scores
• Educate Providers on continuing errors and how to remedy them
• Educate Staff on common error trends and how to remedy them
• Respond to Patient inquiries and assist with billing questions from providers and staff
• Stay up-to-date with CMS guidelines for in-office testing

Requirements

• CPC certification required

Nice to have:

• Athena software knowledge

Benefits

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Important Details

• Schedule: 40-hour work week, Monday through Friday