Billing & Coding Specialist Full-Time Monday-Friday Competitive Pay Based on Experience Position Summary Magnolia Medical Clinic, P.A. is seeking a detail-oriented and experienced Billing & Coding Specialist to support our growing multi-provider primary care practice. This position is responsible for accurate coding, claim submission, payment posting, denial management, and accounts receivable follow-up to ensure timely and compliant revenue cycle performance. The ideal candidate is proactive, analytical, and comfortable working in a fast-paced, high-volume environment.
Key Responsibilities Coding & Charge Review Review and validate provider documentation for accurate CPT, HCPCS, and ICD-10 coding
Ensure appropriate E/M level selection based on documentation guidelines
Verify modifiers and medical necessity requirements
Provide feedback to providers on documentation deficiencies when needed
Monitor payer-specific coding requirements and updates
Claims Management Submit clean electronic claims daily through clearinghouse
Scrub claims for errors prior to submission
Track claim acceptance and resolve rejections promptly
Ensure timely filing requirements are met
Accounts Receivable & Follow-Up Work insurance AR aging reports (30/60/90 days)
Investigate and resolve denials and underpayments
File corrected claims and appeals with proper documentation
Maintain target AR days and collection goals
Identify payer trends and report issues to Billing Office Manager
Payment Posting Accurately post insurance payments, adjustments, and patient payments
Reconcile deposits and ensure balancing accuracy
Review EOBs/ERAs for underpayment patterns
Patient Account Support Assist front desk and patients with billing inquiries as needed
Review patient balances for accuracy
Support eligibility and benefits verification processes
Compliance & Reporting Maintain HIPAA compliance at all times
Stay current with Medicare, Medicaid, and commercial payer updates
Assist with monthly revenue reporting metrics
Support audit requests and documentation reviews
Performance Expectations (KPIs) Clean claim rate >= 95% AR days within practice goal (example:= 99%)
Qualifications 2 years medical billing and/or coding experience required
Primary care experience strongly preferred
CPC, CCS, or equivalent certification preferred
Experience with Greenway Intergy (preferred)
Strong knowledge of E/M coding guidelines
Understanding of Medicare and commercial payer policies
Excellent attention to detail and analytical skills
Ability to manage high claim volume efficiently
Education High school diploma required
Work Environment Fast-paced outpatient medical clinic High daily patient volume Team-oriented but independent role
Job Type: Full-time Pay: From $20.00 per hour
Benefits 401(k) Dental insurance Health insurance Paid time off Vision insurance
Experience Medical billing: 2 years (Required)
Work Location In person.
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