Medical Billing & Coding Specialist (ICD-10 / CPT)

Job Summary
We are seeking a detail-oriented and energetic Medical Billing & Coding Specialist with expertise in ICD-10 and CPT coding to join our dynamic healthcare team. In this vital role, you will be responsible for accurately translating medical diagnoses and procedures into standardized codes, ensuring precise billing and reimbursement processes. Your contributions will directly impact the efficiency of our revenue cycle management, patient records accuracy, and overall healthcare delivery. If you thrive in a fast-paced environment, possess a passion for medical coding, and enjoy working with cutting-edge electronic health record (EHR) systems, this opportunity is perfect for you!

The Medical Billing Specialist is responsible for analyzing patient’s records and coding the patient’s records based on ICD-10 and CPT codes. Additionally, ensure all charges are reflected on the patient account and communicate with inter-departments regarding any type of discrepancy for corrections.

Duties

• Review and analyze medical records to assign appropriate ICD-10 diagnosis codes and CPT procedure codes with precision.
• Ensure all coding aligns with current guidelines, including ICD-9 (if applicable), ICD-10, CPT, and DRG classifications.
• Prepare and submit clean claims for insurance reimbursement using electronic medical record (EMR) and EHR systems.
• Follow up on unpaid or denied claims through effective medical collection strategies to optimize revenue recovery.
• Maintain comprehensive and accurate medical records, ensuring compliance with privacy laws and documentation standards.
• Collaborate with healthcare providers to clarify documentation or resolve coding discrepancies promptly.
• Stay updated on changes in medical coding regulations, insurance policies, and industry best practices to ensure ongoing compliance.
• Reviews medical record documentation to ensure pertinent diagnoses are coded
• Utilizes ICD 10, CPT, clinical reports, UDS reports, H&P reports, operative reports, code diagnosis and modifiers according to coding guidelines
• Communicates effectively with all appropriate parties regarding missing information to ensure proper billing submission
• Prepares and submit electronic and paper claims to insurance carriers and gov payers
• Manages the status of accounts and identify inconsistencies
• Resolves denials and rejections daily
• Handles electronic medical records (EMR) with proficiency and maintains accurate patient records
• Other duties as assigned

Requirements

• Proven experience in medical billing, coding, or related roles within a healthcare setting.
• Strong knowledge of ICD-10, CPT coding systems, and DRG classifications.
• Familiarity with ICD-9 (legacy systems) and comprehensive understanding of medical terminology.
• Experience working with EMR/EHR systems to document and process billing information efficiently.
• Excellent attention to detail to ensure accurate code assignment and claim submission.
• Ability to interpret complex medical records and translate them into precise codes.
• Strong communication skills for collaborating with healthcare providers and insurance companies. Join us if you're passionate about making a difference through accurate medical coding! Bring your expertise in ICD-10 / CPT coding, your knowledge of medical billing processes, and your enthusiasm for improving healthcare operations. We’re committed to supporting your professional growth while fostering an energetic environment where your skills can truly shine!
• High School Diploma or GED
• Three (3) years of experience with medical claims/billing, medical billing cert in lieu of experience

Pay: $15.00 - $25.00 per hour

Benefits:

• Flexible schedule
• Paid time off

Work Location: In person