medical billing and coding specialist

Tomy Starck MD PA

Overview Join our dynamic healthcare team as a Medical Billing and Coding Specialist, where your expertise will drive accurate reimbursement processes and ensure seamless management of medical records. In this vital role, you will be responsible for translating healthcare services into standardized codes, submitting claims efficiently, and maintaining precise documentation. Your attention to detail and knowledge of medical terminology will contribute to the overall success of our healthcare operations, supporting both patient care and organizational compliance.Duties<ul><li>Review medical records and documentation to accurately assign appropriate ICD-9, ICD-10, CPT coding, and DRG classifications.</li><li>Prepare and submit insurance claims using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems, ensuring timely processing.</li><li>Verify insurance coverage, follow up on unpaid or denied claims, and perform medical collections when necessary.</li><li>Maintain comprehensive and organized medical records, ensuring compliance with privacy regulations and coding standards.</li><li>Collaborate with healthcare providers to clarify documentation discrepancies and optimize reimbursement accuracy.</li><li>Stay current with updates in ICD coding systems, CPT coding guidelines, and DRG classifications to ensure compliance.</li><li>Support billing audits by providing detailed reports on coding accuracy and claim status.</li></ul>Skills<ul><li>Strong understanding of medical terminology, anatomy, and physiology to accurately interpret clinical documentation.</li><li>Proficiency in ICD-9, ICD-10, CPT coding, DRG classifications, and ICD coding standards.</li><li>Experience with medical billing processes, including claim submission and follow-up procedures.</li><li>Knowledge of medical collection practices and insurance reimbursement workflows.</li><li>Familiarity with EMR systems and EHR platforms for efficient record management.</li><li>Excellent attention to detail to ensure precise coding and billing accuracy.</li><li>Ability to adapt to evolving healthcare regulations and maintain compliance standards. Embark on a rewarding career that combines technical expertise with meaningful healthcare support! We&rsquo;re dedicated to fostering a positive environment where your skills make a tangible difference in patient care delivery while advancing your professional growth in medical billing and coding.</li></ul>Pay: $22.97 - $27.67 per hourBenefits:<ul><li>Dental insurance</li><li>Employee discount</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Medical Billing and Coding Specialist

The Village Guam, LLC

We are looking for an experienced Medical Billing and Coding Specialist to join our team to process patient billing information for insurance claims and databases.Medical Billing and Coding Specialist responsibilities include tasks that require data analysis such as preparing statements and claims for medical procedures and services, Verify that all insurance payments have been received, Review delinquent accounts and make phone calls for arrangement of payments, Preparing transmitting claims for all insurance companies.The Ideal candidate will demonstrate excellent written and verbal communication skills, which are necessary to ensure the efficient and smooth day-today operation of our office.Job Type: Full-timePay: From $13.00 per hourBenefits:<ul><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Providence Home Medical

Full-Time Medical Billing and Coding Specialist NO OUT OF STATE CANDIDATES WILL BE CONSIDEREDFull-Time Medical Billing and Coding SpecialistProvidence Home Medical is a Durable Medical Equipment provider that focuses on delivering products and brands that consumers depend on for their daily healthcare needs. We are a small, team-oriented office in McMurray, PA with a focus on strong customer service.Job SummaryResponsible for reviewing patient records, assigning accurate medical codes for diagnoses and procedures, submitting insurance claims, and managing billing processes to ensure proper reimbursement.Experience: Minimum 1-3 years of experience in medical billing and coding.Key Responsibilities: &middot; Review patient documentation for accuracy and completeness&middot; Verify patient eligibility and benefits for both primary and secondary insurances&middot; Experience with provider portals- Noridian, CGS, Availity, Navinet, Office Ally&middot; Assign appropriate codes using ICD-10 and HCPCs&middot; Review and prepare high-volume of DME claims accurately and in a timely manner&middot; Submit insurance claims to payers (Medicare, Medicaid, Commercial)&middot; Ensure compliance with regulations such as HIPAACompensation:&middot; Competitive salary, based on experience&middot; Hybrid Schedule, remote and onsite&middot; Insurance: Employee medical and dental fully paid by company&middot; Vacation: 2 weeks (paid)&middot; Eligible for 401K plan (and company match) after 1 year of serviceLocation:&middot; HybridWe will only contact candidates who most closely match our requirements. Only local candidates will be considered.Pay: From $45,000.00 per yearBenefits:<ul><li>401(k) matching</li><li>Dental insurance</li><li>Flexible schedule</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Retirement plan</li></ul>Work Location: Hybrid remote in Canonsburg, PA 15317

Olathe Integrative Healthcare

Overview Join our integrative healthcare team at OIH as a Bilingual (Spanish/English) Medical Billing and Coding Specialist, where your expertise will drive accurate reimbursement processes and ensure seamless medical record management. In this vital role, you will leverage your bilingual skills to bridge communication gaps, assist diverse patient populations, and uphold the highest standards of medical coding and billing accuracy. Your proactive approach will contribute to a smooth revenue cycle, supporting both patient care and organizational efficiency. This salary paid position offers an exciting opportunity to grow your career in a fast-paced, rewarding environment dedicated to excellence in healthcare administration. Required work hours are 9am-6pm, Monday through Friday. We offer generous PTO and optional AFLAC plans along with an infrared sauna and monthly lunch and learns/staff meetings.Responsibilities<ul><li>Review and interpret medical documentation to assign appropriate ICD-10 (International Classification of Diseases, 10th Revision) diagnosis codes, CPT (Current Procedural Terminology) procedure codes, and DRG (Diagnosis-Related Group) classifications for billing accuracy.</li><li>Ensure proper coding of chiropractic and mental health/psychiatric services using ICD-9 (International Classification of Diseases, 9th Revision) where applicable, alongside current ICD-10 standards.</li><li>Prepare and submit clean claims for insurance reimbursement using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems while adhering to payer guidelines.</li><li>Follow up on unpaid or denied claims through effective medical collection strategies, maintaining detailed records of all billing activities.</li><li>Verify patient insurance coverage, ensure required prior authorization before certain procedures, explain billing procedures bilingually, and assist patients with questions related to their medical records or bills.</li><li>Maintain comprehensive and accurate medical records by organizing documentation related to medical coding, billing transactions, and patient information.</li><li>Stay current with updates in medical terminology, coding regulations, and compliance standards to ensure ongoing accuracy and adherence to industry best practices.</li><li>Complete receptionist duties as needed (lunch breaks, when billing tasks are completed).</li></ul>&lt;Skills&gt;<ul><li>Strong knowledge of ICD-10/ICD-9 coding systems and CPT coding procedures for precise billing, particularly with chiropractic and behavioral health billing codes.</li><li>Experience with medical billing software, EMR systems, and EHR platforms for efficient claim processing (Jane, Practice Fusion, and Therapy Notes are used at this office).</li><li>Excellent understanding of medical terminology and healthcare documentation standards.</li><li>Ability to communicate fluently in two languages, providing clear explanations to patients and team members alike.</li><li>Knowledge of medical records management and compliance regulations related to privacy and security.</li><li>Proven ability to navigate complex insurance policies, perform effective medical collections, and resolve billing discrepancies promptly. Embark on a fulfilling career where your bilingual skills make a real difference! We&rsquo;re committed to fostering an inclusive environment that values precision, integrity, and continuous learning&mdash;empowering you every step of the way in your professional journey.</li></ul>Pay: From $23.00 per hourBenefits:<ul><li>Paid time off</li></ul>Education:<ul><li>High school or equivalent (Required)</li></ul>Experience:<ul><li>medical billing and collections: 2 years (Required)</li></ul>Language:<ul><li>Spanish (Required)</li></ul>Shift availability:<ul><li>Day Shift (Required)</li></ul>Work Location: In person

Bilingual Medical Billing and Coding Specialist

Zeal Integrated Health

Overview We are seeking a detail-oriented and experienced Billing Specialist to join our team. The ideal candidate will have a strong background in medical billing and coding, with proficiency in various coding systems. This role is essential in ensuring accurate billing processes and maintaining compliance with medical regulations. The Billing Specialist will work closely with healthcare providers and insurance companies to facilitate smooth billing operations.Duties<ul><li>Process and manage medical billing for various services rendered by healthcare providers.</li><li>Utilize coding to ensure accurate claim submissions.</li><li>Review patient records for completeness and accuracy before billing.</li><li>Handle medical collections and follow up on outstanding claims or payments.</li><li>Maintain organized medical records and ensure compliance with relevant regulations.</li><li>Collaborate with healthcare staff to resolve billing discrepancies or issues.</li><li>Utilize EMR and EHR systems effectively for documentation and billing purposes.</li><li>Stay updated on changes in medical terminology, coding practices, and insurance policies.</li></ul>Requirements<ul><li>Proven experience in medical billing, coding, or a related field is essential.</li><li>Familiarity with general medical terminology is required.</li><li>Experience with EMR and EHR systems is highly desirable.</li><li>Strong attention to detail and organizational skills are a must.</li><li>Excellent communication skills for interacting with healthcare providers and patients.</li><li>Previous experience in a medical office setting is preferred.</li><li>Ability to work independently as well as part of a team in a fast-paced environment. If you are passionate about ensuring accurate medical billing processes and possess the necessary skills, we encourage you to apply for this rewarding opportunity as a Billing Specialist.</li></ul>Job Type: Full-timePay: $18.00 - $21.00 per hourBenefits:<ul><li>Health insurance</li><li>Paid sick time</li><li>Paid time off</li></ul>Work Location: In person

Billing Specialist

ASSOCIATED CARDIOLOGY CONSULTANT

Company Overview Houston Lake Estate management inc. seeking a Medicaid Billing Specialist for their 5 Personal care home located in Georgia.Job OverviewSeeking a Medicaid Billing Specialist for their 5 Personal care home located in Georgia.Duties<ul><li>Weekly Medicaid billing for Source, CCSP for EDWP clients.</li><li>Follow up of Denials with case Mangers and billing specialist</li><li>Post Medicaid remittance report on a weekly basis</li><li>Ensure compliance with federal and state Medicaid regulations, including proper documentation and coding standards.</li><li>Collaborate with healthcare providers, administrative staff, and insurance agencies to resolve billing issues promptly.</li><li>Proven experience in medical billing, preferably within a long-term care or personal care home setting.</li><li>Strong knowledge of medical coding procedures including DRG, CPT coding, ICD-9, ICD-10, and medical terminology.</li><li>Familiarity with medical records management and electronic health record systems.</li><li>Experience in medical collections and revenue cycle management is highly desirable.</li><li>Prior work in a healthcare office environment with proficiency in EMR/EHR systems is preferred.</li><li>Excellent attention to detail, organizational skills, and the ability to interpret complex medical documentation accurately. Join our team as a Medicaid Billing Specialist to ensure precise billing processes that support quality patient care and organizational success!</li></ul>Pay: $14.00 - $16.00 per hourWork Location: In person

Medicaid Billing Specialist for Personal care home / LTC

Trillium Health

<div>
 
 Job Title
 
 
 
 
 Medical Coding Specialist
 
 
 
 
 Department
 
 
 
 Revenue Cycle
 
 
 
 Position Type
 
 
 
 Full-Time
 
 
 
 FLSA
 
 
 
 Non-Exempt
 
 
 
 Job Summary
 
 
 
 The Medical Coding Specialist is responsible for reviewing medical records and encounter documentation to ensure accurate, complete, and compliant coding in accordance with ICD-10-CM and CPT guidelines. Under the supervision of the Director of Revenue Cycle and Billing, this role supports compliant billing practices, maximizes reimbursement, and ensures adherence to federal, state, and payer regulations, including those specific to Federally Qualified Health Centers (FQHCs).
 
 
 The Medical Coding Specialist collaborates closely with providers, billing staff, and other members of the healthcare team to clarify documentation, resolve coding issues, and promote best practices in clinical documentation and coding accuracy.
 
 
 
 Duties and Responsibilities
 
 
 Medical Coding
 
 
 
 <ul>
 <li>
 Review and analyze patient records and clinical documentation to ensure completeness and accuracy for coding purposes.
 </li>
 <li>
 Assign and sequence diagnosis and procedure codes using ICD-10-CM and CPT for all services rendered.
 </li>
 <li>
 Apply coding guidelines and regulatory requirements to ensure correct code assignment and compliance.
 
 
 </li>
 </ul>
 
 Compliance and Accuracy
 
 
 
 <ul>
 <li>
 Adhere to national coding standards, payer policies, and regulatory requirements.
 </li>
 <li>
 Stay current on coding rules, regulations, and industry trends through ongoing education and training.
 
 
 </li>
 </ul>
 
 Collaboration with Healthcare Staff
 
 
 
 <ul>
 <li>
 Communicate with providers to clarify missing, incomplete, or unclear documentation.
 </li>
 <li>
 Provide education and feedback to clinical staff on documentation best practices to support accurate coding.
 </li>
 <li>
 Participate in team meetings related to patient care, billing, and coding updates.
 
 
 </li>
 </ul>
 
 Billing Support
 
 
 
 <ul>
 <li>
 Accurately translate medical procedures and diagnoses into codes for submission to payers.
 </li>
 <li>
 Ensure timely submission of coding information to support claims processing and reimbursement.
 </li>
 <li>
 Collaborate with billing staff to resolve coding-related claim issues.
 
 
 </li>
 </ul>
 
 Record Maintenance
 
 
 
 <ul>
 <li>
 Maintain strict confidentiality of patient information in compliance with HIPAA and privacy laws.
 </li>
 <li>
 Ensure coded medical records are stored securely and accurately.
 </li>
 <li>
 Keep coding manuals and guidelines current and updated.
 
 
 </li>
 </ul>
 
 Professional Development and Other Duties
 
 
 
 <ul>
 <li>
 Pursue ongoing professional development to remain proficient in medical coding.
 </li>
 <li>
 Attend workshops, seminars, and training sessions as needed.
 </li>
 <li>
 Serve as a resource or mentor to less experienced coding staff when applicable.
 </li>
 <li>
 Assist with automation of cash receipt applications and perform other duties as assigned.
 
 
 </li>
 </ul>
 
 Required Skills and Abilities
 
 
 
 <ul>
 <li>
 Proficiency in medical terminology, ICD-10-CM, and CPT coding systems
 </li>
 <li>
 Strong attention to detail and accuracy
 </li>
 <li>
 Knowledge of FQHC billing and reimbursement regulations
 </li>
 <li>
 EPIC experience preferred.
 </li>
 <li>
 Effective written and verbal communication skills
 </li>
 <li>
 Ability to work collaboratively with clinical and administrative teams
 </li>
 <li>
 Ability to relate to individuals from diverse backgrounds, cultures, races, sexual orientations, and gender identities
 
 
 </li>
 </ul>
 
 Education and Experience
 
 
 
 <ul>
 <li>
 Associate&rsquo;s Degree in Health Information Management or a related field required
 </li>
 <li>
 Professional coding certification required (CPC, CCS, or equivalent)
 </li>
 <li>
 Minimum of 3&ndash;4 years of professional fee coding experience
 </li>
 <li>
 Commitment to continuous learning and staying current with coding regulations and healthcare requirements
 
 
 </li>
 </ul>
 
 Physical Requirements
 
 
 
 While performing the duties of this job, the employee is regularly required to sit, stand, walk, use hands to finger, handle or feel; reach with hands and arms; and talk or hear. The employee may occasionally need to stoop, bend, and lift or move up to 25 pounds. Specific vision abilities include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus.
 
 
 
 Equal Employment Opportunity
 
 
 
 Trillium Health promotes Equal Employment Opportunity for all, respecting diverse backgrounds, cultures, races, ages, experiences, and opinions. Employees are expected to meet departmental performance standards and participate in compliance audits, process improvement initiatives, and quality improvement plans
</div>

Medical Coding Specialist

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