Job Overview
Agenacare Urgent Care is a fast-growing urgent care organization committed to delivering high-quality, efficient care to our communities. With multiple locations and continued expansion, we are seeking a driven, detail-oriented and experienced Billing and Coding Specialist to join our team.
Our Billing and Coding Specialist will be responsible for accurate coding, timely claim submission, denial investigation and reprocessing, and proactive accounts receivable (AR) follow up.
Responsibilities
- Review medical records and documentation to assign appropriate CPT, ICD-10, and codes for urgent care services.
- Ensure accurate coding of diagnoses and procedures to facilitate correct billing and reimbursement.
- Prepare and submit clean claims using Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems, adhering to payer guidelines.
- Follow up on unpaid or denied claims through medical collection processes, resolving discrepancies promptly.
- Manage daily billing workflows and charge entry.
- Maintain comprehensive and organized medical records, ensuring all documentation complies with healthcare regulations and standards.
- Collaborate with providers, administrative staff, and insurance companies to clarify coding details or resolve billing issues.
- Stay updated on changes in medical coding standards, insurance policies, and healthcare regulations affecting billing practices.
- Maintain compliance with all federal, state, and payer-specific regulations.
Requirements
- Proven experience in medical billing and coding within an urgent care or outpatient setting with a minimum of 1-2 years of medical billing and coding experience.
- Strong knowledge of CPT coding, ICD-10, and HCPCS coding principles.
- Experience with accounts receivable and denial management.
- Familiarity with medical terminology, medical records management, and healthcare documentation standards.
- Experience working with EMR/EHR systems for coding, billing, and recordkeeping purposes.
- Excellent understanding of medical office workflows, insurance claim processes, and medical collections.
- Ability to interpret complex medical documentation accurately and apply appropriate codes efficiently.
- Ability to work independently and manage multiple priorities.
- Certification in Medical Coding (such as CPC or CCS) is preferred but not mandatory.
What We Offer
- Competitive pay based on experience
- Opportunities for growth within a rapidly expanding organization
- Supportive, team-oriented work environment
- Join us as a vital part of our healthcare team where your expertise will help streamline billing operations while supporting quality patient care!
Pay: From $20.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Employee discount
- Health insurance
- Life insurance
- Paid time off
- Referral program
- Retirement plan
- Vision insurance
Experience:
- Medical Billing and Coding: 1 year (Required)
License/Certification:
- Certified Professional Coder certificate (Preferred)
Work Location: In person