CommuniCare Health Services

## Pharmacy Billing SpecialistApplylocations: Pharmacy Solutions Group - Marylandtime type: Full timeposted on: Posted Yesterdayjob requisition id: R-0000119238**Job Address:**799 Cromwell Park DrSuites K-MGlen Burnie, MD 21061**Job Description:** Pharmacy Billing Specialist**Reports to**: Pharmacy Billing Supervisor**Job Type**: Full-Time – Hybrid/Remote – Pharmacies: West Virginia, Ohio, Indiana and Maryland**Position Overview**: Manage and update patient accounts to ensure consistent billing processes for all payers as outlined in the billing manual.**Key Responsibilities**:* Follow all billing processes as outline in the billing manual to ensure consistency and prescription integrity for compliance* Maintain all current patient accounts by verifying, adding or editing current insurance (Medicare Part D, Commercial, Medicaid, Medicare A and Managed Care)* Works closely with the facility business office managers for Medicare Part D insurance plans and Census clarifications* Works...

A healthcare service organization is seeking a Medical Coding and Billing Compliance Auditor to perform coding audits and ensure compliance with regulations. The role requires extensive coding knowledge, analytical skills, and a strong background in Microsoft Office applications. Applicants should have a current coding credential and a minimum of three years of outpatient coding experience. This is a full-time remote position. #J-18808-Ljbffr

Medical Coding and Billing Compliance Auditor Location: Remote Division: Coding Compliance About the Role: The Medical Coding Auditor is a detail-oriented position responsible for reviewing medical coding accuracy, documentation integrity, ensuring compliance with federal and state regulations, payer guidelines, and internal policies. The ideal candidate will bring strong analytical skills, extensive coding knowledge, and a passion for maintaining the highest standards of quality and compliance. The candidate will demonstrate a strong background in Microsoft Office applications including PowerPoint, Word, Excel, Outlook, TEAMS, and SharePoint. The Medical Coding Auditor will have a background in physician feedback and education on documentation integrity and coding accuracy. The ideal candidate will have extensive knowledge of CPT coding, ICD-10-CM coding, E/M coding, HCC methodologies, modifiers, telehealth, and HCPCS coding. The candidate will understand and know where to access...