Abrar Admin

Tucson Dermatology

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 Location: Tucson
 
 
 Employment Type: Full-Time
 
 
 Schedule: Monday &ndash; Friday
 
 
 Our multi-location healthcare organization is seeking a highly organized professional who understands both medical billing/coding and provider credentialing and can support operational improvements within the revenue cycle.
 
 
 
 Position Overview
 
 
 
 The Medical Biller / Coder &amp; Credentialing Specialist will manage key functions of the revenue cycle including coding accuracy, claims processing, payer credentialing, denial management, and provider enrollment.
 
 
 This role works closely with providers, leadership, and clinical teams to ensure accurate billing, compliance with payer requirements, and efficient reimbursement processes.
 
 
 
 Key Responsibilities
 
 
 
 
 Medical Coding
 
 
 
 Review provider documentation and assign accurate ICD-10, CPT, and HCPCS codes
 
 
 Ensure coding complies with payer regulations and industry guidelines
 
 
 Identify documentation gaps and communicate with providers when clarification is required
 
 
 Support coding compliance and documentation improvement
 
 
 
 Claims &amp; Billing
 
 
 
 Prepare and submit electronic claims through the practice management system
 
 
 Monitor claim status and follow up on unpaid or denied claims
 
 
 Investigate claim rejections and coordinate corrections with staff
 
 
 Work with clearinghouses and insurance payers to resolve billing issues
 
 
 
 Revenue Cycle Management
 
 
 
 Monitor and manage accounts receivable
 
 
 Track aging reports and follow up on outstanding balances
 
 
 Investigate underpayments and payer discrepancies
 
 
 Support efforts to improve clean claim rate and reduce days in A/R
 
 
 
 Provider Credentialing &amp; Enrollment
 
 
 
 Manage provider credentialing and recredentialing with commercial and government payers
 
 
 Maintain provider enrollment records and credentialing documentation
 
 
 Track credentialing timelines and renewal deadlines
 
 
 Coordinate payer enrollment applications and updates
 
 
 Ensure provider information is accurately reflected in payer systems
 
 
 Work with leadership and providers to ensure timely credentialing during onboarding
 
 
 
 Compliance &amp; Quality
 
 
 
 Maintain compliance with billing regulations and payer policies
 
 
 Support internal billing and coding audits
 
 
 Ensure HIPAA compliance and protection of patient data
 
 
 Reporting &amp; Operational Support
 
 
 Generate billing, collections, and credentialing status reports
 
 
 Identify opportunities to improve billing workflows and revenue cycle performance
 
 
 Collaborate with leadership to improve operational efficiency
 
 
 
 Qualifications
 
 
 
 Required
 
 
 Minimum 3 years experience in medical billing, coding, or revenue cycle management
 
 
 Experience with provider credentialing and payer enrollment
 
 
 Strong knowledge of ICD-10, CPT, and HCPCS coding
 
 
 Experience working with insurance payers and claim follow-up
 
 
 Strong attention to detail and organizational skills
 
 
 
 Preferred CPC, CCS, Or Equivalent Coding Certification
 
 
 
 Experience in dermatology or outpatient specialty practices
 
 
 Experience with Modernizing Medicine (ModMed EMA) or similar EMR systems
 
 
 Knowledge of dermatology procedures, Mohs surgery billing, or cosmetic services
 
 
 
 Key Competencies
 
 
 
 Strong analytical and problem-solving abilities
 
 
 Excellent attention to detail
 
 
 Ability to manage multiple priorities and deadlines
 
 
 Strong communication skills with clinical and administrative teams
 
 
 Commitment to compliance and billing accuracy
 
 
 
 What We Offer
 
 
 
 Competitive compensation based on experience
 
 
 Monday&ndash;Friday work schedule
 
 
 Professional and collaborative work environment
 
 
 Opportunity to support and improve revenue cycle operations within a growing healthcare organization
 
 
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Medical Biller / Coder & Credentialing Specialist

Join Tucson Dermatology and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Tucson Dermatology

About Company

Medical Biller / Coder & Credentialing Specialist