About This Role
This position combines medical coding, insurance and revenue cycle oversight, and daily office management within a growing dermatology practice. The role suits a highly organized, motivated, and experienced professional with a strong understanding of medical billing and coding practices, exceptional organizational abilities, and leadership skills.
Responsibilities
- Review patient documentation to ensure accurate ICD-10, CPT, and HCPCS coding
- Review medical claims for accuracy, completeness, and appropriate reimbursement
- Identify coding discrepancies, documentation deficiencies, and missed reimbursement opportunities
- Monitor insurance claims, denials, rejections, and outstanding accounts receivable
- Research and resolve insurance claim denials, including corrected claims and appeals
- Verify insurance eligibility, benefits, and coverage requirements
- Coordinate prior authorizations and referrals when necessary
- Maintain knowledge of Medicare, Medicaid, and commercial insurance coding and billing guidelines
- Work directly with providers and billing personnel to improve documentation, coding accuracy, and revenue cycle efficiency
- Utilize electronic medical records and practice management systems, including Modernizing Medicine (ModMed), to streamline operations
- Maintain HIPAA compliance and patient confidentiality
- Oversee daily administrative operations to ensure an efficient, professional, and patient-focused clinical environment
- Coordinate front-office workflows, patient scheduling, registration, and check-in/check-out processes
- Supervise and support administrative personnel while promoting accountability and teamwork
- Monitor daily scheduling, provider utilization, and patient flow
- Assist with staff training, performance expectations, and workflow improvements
- Manage incoming patient communications, insurance inquiries, and administrative concerns
- Maintain accurate patient records and administrative documentation
- Oversee office supply inventory, ordering, and organizational needs
- Develop and implement processes that improve efficiency, productivity, and the patient experience
- Collaborate directly with practice ownership on operational improvements and continued practice growth
Requirements
- Experience in medical coding, medical billing, or healthcare revenue cycle management
- Strong knowledge of ICD-10, CPT coding, insurance claims, and reimbursement procedures
- Understanding of insurance verification, claim denials, and payment processing
- Proficiency with computers, electronic health records, Microsoft Office, and practice management software