About This Role
This role is for a detail-oriented and experienced Medical Billing and Coding Specialist to join a growing, fast-paced, and team-oriented revenue cycle team. The specialist will manage complex billing processes, resolve coding and payer-related issues, and contribute to process improvements.
Responsibilities
- Review, code, and submit provider/practice claims with accuracy and timeliness
- Independently manage assigned work queues to ensure proper charge capture
- Investigate and resolve complex claim denials and rejections
- Analyze denial trends and recommend actionable solutions
- Apply advanced ICD-10 and CPT coding knowledge to claims and appeals
- Utilize payer portals for claim status reviews, corrections, and resubmissions
- Collaborate with Accounts Receivable (AR) staff to resolve complex account issues
- Prepare and submit appeals with appropriate supporting documentation
- Communicate with providers to clarify incomplete or unclear medical records
- Support audits, reporting, and departmental projects
- Assist in onboarding and training new team members
- Stay current on payer updates and industry changes, sharing insights with the team
- Perform additional billing and coding duties as assigned
Requirements
- Advanced knowledge of ICD-10, CPT coding, and CMS guidelines
- Strong understanding of payer policies and carrier portals
- Experience identifying and resolving denial trends
- Strong analytical, reconciliation, and reporting skills
- Excellent attention to detail and accuracy
- Strong verbal and written communication skills
- Exceptional organizational and time-management abilities
- Self-starter who can work independently and collaboratively
- Experience with Microsoft Word and Excel
- High school diploma or equivalent required (Associate’s or Bachelor’s degree preferred)
- 3+ years of medical billing and coding experience, preferably in a multi-specialty practice
Nice to have:
- Certification in Medical Billing & Coding (e.g., CPC, CCS-P)
- 1 year of ICD-10 experience
Benefits
- Health, dental, vision, life insurance
- Paid time off
- 401(k)
- Employee discount
- Flexible spending account
- Opportunity to work on complex, high-impact cases
- Career development and advancement opportunities
Application Process
- State your salary requirement
