Our Medical Center is seeking an experienced and detail-oriented Medical Coding & Billing Specialist to join our growing team. The ideal candidate will be responsible for accurate coding, claim submission, insurance follow-ups, and ensuring timely reimbursement.
Responsibilities:
- Review patient charts for accuracy and completeness
- Perform detailed patient chart review to ensure proper documentation supports coding
- Accurately assign CPT, ICD-10, and HCPCS codes
- Submit encounters to HMO plans in a timely manner
- Submit electronic claims to Marketplace insurance companies such as Oscar Insurance, Molina Healthcare, and Ambetter
- Ensure compliance with payer-specific billing guidelines
- Follow up on unpaid claims and resolve denials
- Post insurance payments and reconcile accounts
- Verify patient eligibility and benefits
- Maintain HIPAA compliance at all times
- Communicate with insurance companies and patients regarding billing questions
Qualifications:
- Minimum 2 years of medical coding and billing experience
- Knowledge of CPT, ICD-10, and HCPCS coding
- Experience with EHR/EMR systems
- Strong understanding of insurance guidelines (Medicare, Medicaid, Commercial plans)
- Excellent attention to detail and organizational skills
- Certification (CPC, CCS, or equivalent)
We Offer:
- Competitive salary (based on experience)
- Paid time off
- Professional work environment
- Growth opportunities