medical billing and coding specialist

Mat-Su Surgical Associates, APC

About usOur growing General Surgery Practice is seeking a skilled Medical Billing &amp; Coding Specialist to join our team. We are looking for a reliable, motivated, highly organized individual that can multi-task, and work under pressure. We are willing to train the right person, but the best candidate must have an eye for detail, have a positive attitude &amp; be a team player. The successful candidate will be responsible for accurately and efficiently submitting medical claims to insurance companies, as well as following up on unpaid or rejected claims. The Medical Billing &amp; Coding Specialist will also work closely with patients to answer billing questions and resolve any issues. It is essential to have the highest quality of character, and have a positive, professional attitude. We understand that empowering &amp; inspiring our staff is how to retain the best people on our team!Interested applicants, please submit a cover letter, resume, 3 professional references, and be prepared to take a coding test at the time of interview.Ideal Attributes:&middot; Certified CPC and/or CPMA (AAPC or AHIMA)&middot; Physician Charge Coding (CPT, HCPC and ICD-10)&middot; Medical Terminology&middot; Experience with General Surgery and G.I. Procedure Coding&middot; Honesty, integrity, proactive problem solver, and a team playerJob Responsibilities:&middot; Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations&middot; Review notes from patient encounters and code them to ensure accurate assignment of CPT, HCPCS, ICD-10-CM codes, and modifiers per current coding guidelines and payor regulations&middot; Efficiently review provider communications and documentation to ensure completeness and prompt billing&middot; Submit insurance claims and process payments to and from various insurance companies either electronically or by paper&middot; Verify insurance eligibility and benefits and obtain all necessary prior authorizations&middot; Confirm all prior authorization standards for insurance companies bi-annually&middot; Collaborate with clinical staff to implement and improve workflow for provider documentation and reimbursement efficiency&middot; Scan, file, attach EOBS, chart notes, etc. into EMR&middot; Resolve insurance denials and discrepancies in collaboration with the billing team and providers&middot; Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers&middot; Process and apply refunds to insurance companies and patients&middot; Consult with Self-Pay patients and provide Good Faith Estimates&middot; Provide excellent customer service by answering questions from patients and insurance companies&middot; Assist in resolving patient billing complaints&middot; Other duties as assignedSkills &amp; Qualifications:1+ year of outpatient or other medical related experience preferred&middot; Excellent written and verbal communication skills and interpersonal skills&middot; Keen attention to detail and ability to prioritize tasks&middot; Able to work independently and as a team player to complete tasks in a timely manner&middot; Excellent character, patience, kindness, dependability, and loyalty&middot; Contribute to large work volume with high level of accuracy and quality&middot; Demonstrate professional pleasant demeanor and a service oriented mindset&middot; Proactive problem-solving skills&middot; Criminal background check clearance/fingerprint clearance&middot; Must hold valid coding certification (e.g. CPC, CCS)&middot; Familiarity with billing software and electronic health records systems&middot; Outpatient billing experience preferred.What You&rsquo;ll Love About Us&middot; We have an awesome small practice culture and&middot; truly make a difference in our community by providing uncompromising compassionate medical care.&middot; Holiday &amp; Paid time off&middot; 401K Plan&middot; Health Insurance&middot; Work environment that is empowering and satisfyingEducation:High School Diploma or equivalentSome college, with emphasis on Medical Coding, Medical Terminology and Basic Human Anatomy preferred.Certified CPC and/or CPMA (AAPC or AHIMA)Job Type: Full-timePay: From $26.00 per hourBenefits:<ul><li>401(k)</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Experience:<ul><li>ICD-10: 1 year (Preferred)</li></ul>Work Location: In person

Medical Billing and Coding Specialist

Alliance Healthcare Management LLC

Overview Join our dynamic healthcare team at Alliance Health Management LLC 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 medical procedures and diagnoses into standardized codes, managing billing cycles, and maintaining precise documentation. Your energetic approach and attention to detail will contribute to the efficiency of our healthcare operations, supporting both patient care and organizational success.Duties<ul><li>Review and analyze medical records to assign appropriate ICD-10 (International Classification of Diseases, 10th Revision), CPT (Current Procedural Terminology), and DRG (Diagnosis-Related Group) codes for billing purposes.</li><li>Ensure accurate coding using ICD-9 (International Classification of Diseases, 9th Revision) where applicable, along with ICD coding updates and guidelines.</li><li>Prepare and submit clean claims to insurance companies through electronic Medical Billing systems integrated with EMR (Electronic Medical Records) or EHR (Electronic Health Records) platforms.</li><li>Follow up on unpaid or rejected claims by conducting effective Medical Collection activities while adhering to compliance standards.</li><li>Maintain detailed and organized Medical Records, ensuring all documentation aligns with coding requirements and legal standards.</li><li>Collaborate with healthcare providers to clarify diagnoses or procedures when necessary to ensure precise coding.</li><li>Stay current with industry regulations, including updates in ICD coding standards, CPT coding changes, and healthcare compliance policies.</li><li>Other duties based on experience maybe assigned. Role can be modified from time to time based on need.</li></ul>Qualifications<ul><li>Proven experience in Medical Billing, Medical Coding, or a related healthcare administrative role.</li><li>Strong knowledge of ICD-10, ICD-9, CPT coding systems, and DRG classifications.</li><li>Familiarity with EMR/EHR systems used for medical documentation and billing processes.</li><li>Excellent understanding of Medical Terminology and Medical Records management.</li><li>Ability to interpret complex medical documentation accurately for coding purposes.</li><li>Experience with Medical Billing software and Medical Collection procedures is preferred.</li><li>Exceptional attention to detail combined with active problem-solving skills to ensure accuracy and compliance. Embark on a rewarding career where your skills make a real difference! We&rsquo;re dedicated to fostering an energetic environment that values precision, continuous learning, and professional growth. Join us in supporting efficient healthcare delivery through expert medical billing and coding practices!</li><li>Excellent communication skills.</li><li>Customer service skills are required when communicating with providers and/or their staff.</li></ul>Pay: $24.78 - $29.84 per hourBenefits:<ul><li>Health insurance</li><li>Health savings account</li><li>Retirement plan</li></ul>Experience:<ul><li>Medical billing: 2 years (Required)</li></ul>Language:<ul><li>Spanish (Preferred)</li></ul>Work Location: Remote

Pain, Spine & Rehab PA - SPECIALIZING in INTERVENTIONAL PAIN MANAGEMENT

Overview Join our dynamic healthcare team as a Medical Billing Specialist, where your expertise will drive the efficiency and accuracy of medical billing processes. In this vital role, you will manage the entire billing cycle, ensuring timely and precise reimbursement for healthcare services. Your attention to detail and knowledge of medical coding will directly impact the financial health of our organization while supporting excellent patient care. This position offers a rewarding opportunity to apply your skills in a fast-paced, collaborative environment dedicated to excellence.Duties<ul><li>Review and interpret medical records to accurately assign appropriate ICD-9, ICD-10 diagnosis codes, CPT (Current Procedural Terminology) codes, and DRG (Diagnosis-Related Group) classifications for billing purposes</li><li>Prepare and submit clean claims using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems, ensuring compliance with insurance requirements and regulations</li><li>Follow up on unpaid or rejected claims through effective medical collection strategies, resolving discrepancies promptly</li><li>Maintain detailed documentation of billing activities, including medical records, coding adjustments, and correspondence with payers</li><li>Collaborate with healthcare providers to clarify documentation and ensure accurate coding for optimal reimbursement</li><li>Stay current with updates in medical coding standards, insurance policies, and regulatory guidelines to ensure compliance</li><li>Assist in auditing billing processes and records to identify areas for improvement and ensure adherence to best practices</li></ul>Requirements<ul><li>Proven experience in medical office settings with a strong background in medical billing and coding</li><li>Proficiency in ICD-9, ICD-10, CPT coding, DRG classifications, and medical terminology</li><li>Familiarity with EMR systems and EHR platforms used for billing and record management</li><li>Knowledge of medical collection procedures and insurance claim submission processes</li><li>Excellent attention to detail with strong organizational skills to manage multiple claims efficiently</li><li>Ability to interpret complex medical records accurately and communicate effectively with healthcare providers and payers</li><li>Prior experience in handling medical records, billing documentation, and regulatory compliance is highly desirable</li></ul>Join us as a Medical Billing Specialist and become an essential part of our mission to deliver outstanding healthcare services through precise financial operations. Your expertise will help streamline processes, maximize reimbursements, and support the overall well-being of our patients.Pay: $1.00 - $2.00 per yearBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Flexible schedule</li><li>Paid time off</li><li>Retirement plan</li></ul>Work Location: In person

Medical Billing Specialist

Tucson Dermatology

<div>
 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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</div>

Medical Biller / Coder & Credentialing Specialist

Nation's Best Family Health Care

Job Overview This position is an On-Site position and requires this person to work in the office 5 days a week.We are seeking a detail-oriented and dedicated Medical Billing Specialist to join our healthcare administration team. The ideal candidate will possess a strong understanding of medical billing processes, coding systems, and insurance claim procedures. As a Medical Billing Specialist, you will be responsible for ensuring accurate billing, coding, and collection of payments while maintaining compliance with healthcare regulations. Your expertise will contribute to the smooth financial operations of our medical practice and support optimal revenue cycle management.Responsibilities<ul><li>Review and process medical claims using appropriate coding systems such as CPT (Current Procedural Terminology), ICD-9, and ICD-10 to ensure precise reimbursement.</li><li>Assign diagnosis and procedure codes accurately based on medical records and documentation, including DRG (Diagnosis-Related Group) classifications.</li><li>Submit claims electronically through Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems, ensuring timely and compliant submissions.</li><li>Follow up on unpaid or denied claims through effective medical collections strategies to maximize revenue recovery.</li><li>Maintain detailed and organized medical records and billing documentation in accordance with privacy regulations and organizational policies.</li><li>Collaborate with healthcare providers to clarify documentation discrepancies that may impact coding accuracy or reimbursement.</li><li>Stay current with updates in medical coding standards, insurance policies, and healthcare regulations to ensure ongoing compliance.</li></ul>Skills<ul><li>Proficiency in medical coding including CPT, ICD-9, ICD-10, and DRG classifications.</li><li>Strong knowledge of medical terminology, anatomy, and physiology to accurately interpret clinical documentation.</li><li>Experience working with EMR/EHR systems for billing and record management. Preferred eClinicalWorks experience.</li><li>Familiarity with medical billing procedures, insurance claim submission processes, and collections practices.</li><li>Ability to analyze medical records for accurate coding and billing purposes.</li><li>Excellent attention to detail combined with strong organizational skills to manage multiple claims efficiently.</li><li>Effective communication skills for collaborating with healthcare providers, insurance companies, and patients. Join our team as a Medical Billing Specialist to play a vital role in ensuring accurate financial operations within a dynamic healthcare environment. Your expertise will help facilitate seamless revenue cycle management while supporting high-quality patient care delivery.</li></ul>Pay: $20.00 - $22.00 per hourBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</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

Lake Country Pediatrics, S.C.

<div>
 
 
 Company Description
 
 Lake Country Pediatrics, S.C. is a full-service pediatric practice offering tailored support and care based on the unique needs of each patient. From regular well-visits to specialty allergy testing and sports physicals, we provide comprehensive care for children at all growth stages. Our services include in-office care, in-hospital care, home visits for new babies, lactation consultations, immunizations, and allergy care.
 
 
 
 
 
 
 Role Description
 
 We are seeking a full-time, detail-oriented and energetic Medical Billing and Coding Specialist to join our dynamic healthcare team. In this vital role, you will be responsible for accurately coding medical procedures and diagnoses, participating in billing processes, and ensuring seamless communication between healthcare providers, insurance companies and patients. Your expertise will help optimize revenue cycles, improve patient record accuracy, and support efficient healthcare delivery. This position offers an exciting opportunity to contribute to high-quality patient care through precise coding and billing practices.
 
 
 
 
 
 
 Duties
 
 
 <ul>
 <li>
 Review medical records and documentation to assign appropriate ICD-10 (International Classification of Diseases, 10th Revision), CPT (Current Procedural Terminology), and DRG (Diagnosis-Related Group) codes for billing purposes
 </li>
 <li>
 Prepare and submit accurate claims to insurance companies using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems
 </li>
 <li>
 Follow up on unpaid or denied claims through effective medical collection strategies
 </li>
 <li>
 Demonstrate awareness of healthcare regulations, coding guidelines, and payer policies
 </li>
 <li>
 Maintain detailed and organized medical records, including documentation of coding decisions and billing transactions
 </li>
 <li>
 Collaborate with healthcare providers to clarify documentation discrepancies or incomplete records
 </li>
 <li>
 Stay current on changes in medical terminology, coding standards (ICD-9, ICD-10), and billing procedures to ensure ongoing accuracy
 </li>
 </ul>
 
 
 
 
 
 Requirements
 
 
 <ul>
 <li>
 Minimum of 1-year medical coding experience; pediatrics experience preferred
 </li>
 <li>
 Certification in medical coding (CPC or CCS)
 </li>
 <li>
 Proven experience in medical billing, coding, or a related healthcare administrative role
 </li>
 <li>
 Strong knowledge of ICD-9/ICD-10 coding systems and CPT coding procedures
 </li>
 <li>
 Familiarity with DRG classifications used for outpatient reimbursement processes
 </li>
 <li>
 Experience working with EMH/EHR systems and medical records management software; EPIC
 </li>
 <li>
 Excellent understanding of medical terminology, healthcare documentation standards, and billing regulations
 </li>
 <li>
 Ability to interpret complex medical records accurately and assign correct codes efficiently
 </li>
 <li>
 Strong attention to detail, organizational skills, and the ability to handle multiple tasks simultaneously
 </li>
 </ul>
 
 
 
 
 
 Benefits
 
 
 <ul>
 <li>
 401(k)
 </li>
 <li>
 Additional Retirement Package
 </li>
 <li>
 Health Insurance
 </li>
 <li>
 Dental Insurance
 </li>
 <li>
 Vision Insurance
 </li>
 <li>
 Employee Discount
 </li>
 <li>
 Paid Time Off
 </li>
 </ul>
 
 
 
 
 
 Work Location:
 
 In person
 
 
 
 
</div>

Billing & Coding Specialist

Central Health

<div>Overview:
<div>
Under the supervision of the Revenue Cycle Supervisor, responsible for revenue cycle functions including and not limited to coding/edit charge review, accurate timely submission of insurance claims, failed claims/follow‐up resolutions, training, education, research, denial appeals, resolving unpaid medical claims, cash posting, processing billing calls and inquiries and may serve as an intermediary between healthcare providers, clients, patients, and health insurance companies.
 
 
Adheres to internal coding policies and expectations set forth by management and acts as a trainer and resource: Reviewing clinical documentation to assign appropriate ICD-10, CPT, HCPCS, and other relevant codes; Ensuring that all codes assigned align with the services rendered, diagnoses, and treatments documented in the patient's medical records; Making necessary adjustments to codes in cases where discrepancies or errors are identified; Collaborating with healthcare providers to clarify documentation and coding as needed; Adhering to all applicable coding guidelines, including those provided by the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC).
 
 
Process accurate code assignments for paper and /or electronic claims and required billing data elements prior to charges being processed for payment and revenue reporting, including coding /edit reviews. Ensures all professional aspects of the assignment of diagnostic and procedural coding is carries out in compliance with applicable Medicare, Medicaid and third‐party payer guidelines. Ensures accurate posting from remits to ensure proper work queue routing and required billing data elements to ensure an accurate accounting processed for payment and revenue reporting.</div><div></div><div> 
*** Remote = Individuals in this position may work at an approved off-site location; however, they may be required to occasionally visit an on-site location in Austin, Texas. ***</div><div></div><div> 
****To be considered for this position, you must reside in one of the following states: Texas, Connecticut, Michigan, Ohio, North Carolina, Georgia, Florida, or Arizona. Applicants residing in other states will not be considered at this time.****</div>
Responsibilities:
<div>
Essential Functions:</div><ul><li>
Ensure accurate and timely billing and collection of medical claims.</li><li>
Conduct chart reviews on documentation and correct coding to ensure compliance with all governmental and contractual obligations.</li><li>
Working with Supervisor and the Compliance office, train providers in proper documentation and coding as
 
indicated by chart review.</li><li>
Performs charge review, claim edits, and ensuring the accurate and timely CPT/ICD coding for all clinical provider charges.</li><li>
Process all charges and reviews and clear all coding edits generated by EMR/PM.</li><li>
Clears all errors and edits generated by EMR and PM system.</li><li>
Perform complex tasks relating to insurance verification, resolution of aging accounts, resolution of patient
 
complaints and client customer service.</li><li>
Assist with process improvement to maximize patient experience and reimbursement.</li><li>
Process insurance payments, reconciling deposits, posting payments and recoupments, and managing patient
 
accounts.</li><li>
Ensures accurate posting from remits to ensure proper work queue routing and required billing data elements to
 
ensure an accurate accounting processed for payment and revenue reporting.</li><li>
Answer and resolve patient inquiries from internal and external sources.</li><li>
Serve as an intermediary between healthcare providers, patients, health insurance companies and other stakeholders.</li><li>
Participate in special projects and complete other duties as assigned</li></ul><div>
Knowledge, Skills and Abilities:</div><ul><li>
Knowledge of revenue cycle, billing and collections processes and procedures.</li><li>
Demonstrated knowledge of Epic or other medical billing software.</li><li>
Demonstrated knowledge of ICD‐10, CPT and HCPCS coding.</li><li>
Demonstrated knowledge of Medicare, Medicaid, and other third-party insurers.</li><li>
Demonstrated knowledge of policies, procedures/rules, and regulations used in interpreting proper billing and coding processes and techniques.</li><li>
Attention to detail and accuracy.</li><li>
Verbal and written communication skills.</li><li>
Skill at building relationships and providing excellent customer service.</li><li>
Demonstrated proficiency and experience in the use of computer and commonly used software including but not limited to Microsoft Office Suite, electronic medical record or practice management system.</li><li>
Ability to multitask.</li></ul> 
<div></div>
Qualifications:
<div>
Required Education: High School Diploma</div><div></div><div> 
Required Work Experience:</div><ul><li>
4 years of experience in medical coding, medical auditing, or billing, in multi-specialty outpatient/professional billing setting - Required</li></ul><div>
Required Licenses/Certifications:</div><ul><li>
Certified Coding Specialist (CCS) through governing body AHIMA OR
</li><li>Certified Coding Specialist ‐ Physician (CCS‐P) through governing body AHIMA OR</li><li>
Certified Professional Coder ‐ (CPC) through governing body AAPC. -Required</li></ul></div>

Revenue Cycle and Coding Specialist (Remote, based in Austin, Tx)

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Revenue Cycle and Coding Specialist (Remote, based in Austin, Tx)