Medical Billing/Coding SpecialistThis role is well suited for someone with a medical billing/coding background who is comfortable reviewing documentation, coding accurately, submitting high volumes of professional claims, and resolving billing issues while working both independently and collaboratively.Primary ResponsibilitiesReview, manage and submit 75-100 CMS-1500 professional claims each dayAssign accurate procedure and diagnosis codesVerify claim accuracy before submissionReview medical records to determine appropriate ICD-10 and CPT codesCoordinate with other departments to obtain missing documentationResolve claim rejections and make claim correctionsCollaborate with revenue cycle teams to understand payer-specific billing guidelines and state insurance requirementsKey QualificationsCertificate or diploma from an accredited medical billing/coding programProfessional coding certification (required)Knowledge of ICD-10 and CPT codingStrong attention to detail and accuracyAbility to multitask and prioritize workStrong analytical and comprehension skillsExcellent verbal and written communicationIntermediate proficiency in Microsoft ExcelWork independently while maintaining timely communication with managementPositive attitude and ability to work collaborativelyAbility to consistently meet deadlinesPreferred ExperienceMedical billing and coding experience with CMS-1500 professional claimsKnowledge of insurance policies and reimbursement processesExperience with out-of-network medical billingSkills That Would Make a Strong CandidateMedical billing and codingICD-10-CM and CPT codingRevenue cycle managementInsurance verification and payer policiesClaim denial and rejection resolutionMedical records reviewMicrosoft ExcelTime managementAttention to detailCommunication and teamwork