Medical Billing and Coding Specialist

Job Summary

We are seeking a detail-oriented and proactive Medical Billing and Coding Specialist to join our dynamic healthcare team. In this role, you will be responsible for accurately coding medical procedures and diagnoses, managing billing processes, and ensuring seamless revenue cycle management. Your expertise will help optimize insurance claim processing, improve cash flow, and maintain compliance with medical coding guidelines. This position offers an exciting opportunity to contribute to efficient healthcare operations while working with cutting-edge EMR (Electronic Medical Records) and EHR (Electronic Health Record) systems. If you thrive in a fast-paced environment and possess a passion for accuracy and healthcare finance, we want to hear from you!

Duties

• Review and assign appropriate ICD-10, ICD-9, CPT (Current Procedural Terminology), and DRG (Diagnosis-Related Group) codes to medical records based on detailed documentation.
• Ensure accurate billing for inpatient and outpatient services in accordance with medical coding guidelines.
• Process health insurance claims efficiently using advanced billing software and verify coverage details through third-party payers.
• Manage electronic health record (EHR/EMR) systems for billing, coding, and medical records management.
• Collaborate with healthcare providers to clarify documentation discrepancies and improve coding accuracy.
• Conduct follow-up on unpaid or denied claims, performing medical collection activities to recover revenue.
• Maintain comprehensive records of coding decisions, billing transactions, and insurance communications to support audits and compliance reviews.

Requirements

• Proven experience in medical office settings with a strong understanding of medical terminology, records management, and health insurance processes.
• Proficiency with billing software, EMR/EHR systems, and electronic health record management for billing and coding purposes.
• In-depth knowledge of medical coding guidelines including ICD-10, ICD-9, CPT coding, DRG classifications, and coding for inpatient services.
• Familiarity with health insurance claim processing, third-party billing procedures, and revenue cycle management strategies.
• Strong attention to detail with the ability to interpret complex medical documentation accurately.
• Excellent communication skills for collaborating with healthcare providers, insurance companies, and patients when necessary.
• Certification in Medical Coding (such as CPC or CCS) is preferred but not mandatory; relevant experience is highly valued.

Join us as a Medical Billing and Coding Specialist to play a vital role in ensuring our healthcare facility runs smoothly by maximizing revenue integrity while maintaining the highest standards of accuracy and compliance. Your expertise will directly impact patient care by supporting efficient financial operations—empowering us to deliver exceptional healthcare services every day!

Pay: $24.22 - $29.17 per hour

Benefits:

• Employee discount
• Flexible schedule

Work Location: In person