Overview
Join our dynamic and growing clinic as a Medical Billing and Coding Specialist, where your expertise will drive the accuracy and efficiency of medical billing processes. In this vital role, you will ensure precise coding of clinical visits and diagnoses, manage insurance claims, and support the revenue cycle management to optimize financial performance. Your attention to detail and knowledge of medical coding guidelines will directly impact patient billing accuracy and compliance with healthcare regulations. This paid position offers an exciting opportunity to contribute to a fast-paced environment dedicated to delivering exceptional healthcare services.
Responsibilities
- Accurately assign ICD-10, ICD-9, CPT, and DRG codes to medical records in accordance with current coding guidelines for inpatient and outpatient services
- Review and interpret medical records, documentation, and physician notes to ensure proper coding for billing purposes
- Process health insurance claims using Practice Fusion billing software and electronic health record (EHR) systems, ensuring timely submission and follow-up on unpaid or denied claims
- Manage medical collections by following up on outstanding accounts and resolving billing discrepancies with third-party payers
- Maintain comprehensive documentation of coding activities, claim status updates, and correspondence within EMR/EHR systems
- Communicate with insurance companies and other payers regarding claim status, denials, payment issues, and required documentation
- Stay current with changes in medical coding standards, insurance policies, and healthcare regulations to ensure compliance
- Collaborate with healthcare providers and insurance companies to resolve billing issues efficiently
- Prepare and send patient statements
- Follow up on outstanding insurance and patient balances
- Post electronic remittance advices (ERAs), insurance payments, adjustments, and patient payments
- Respond professionally and compassionately to patient questions regarding statements, insurance processing, and account balances
- Protect patient confidentiality and follow HIPAA requirements and clinic policies
- Assist with accounts-receivable reporting and other billing-related projects as needed
Skills
- Strong knowledge of ICD-10, ICD-9, CPT coding systems, including coding for inpatient services and DRGs
- Proficiency in medical terminology, medical records management, and understanding of medical coding guidelines
- Experience with billing software, EMR/EHR systems, and electronic health record management for billing and coding purposes
- Familiarity with health insurance claim processing, third-party billing procedures, and revenue cycle management
- Excellent attention to detail with the ability to interpret complex medical documentation accurately
- Knowledge of health insurance policies, health insurance claim processing, and medical collection procedures
- Effective communication skills for collaborating with healthcare providers, insurance companies, and patients
Qualifications
- At least five years of medical billing experience required
- Experience working in a small clinic, independent practice, or similar healthcare setting strongly preferred
- Strong understanding of medical billing workflows, insurance claims, ERAs, patient statements, denials, and accounts receivable
- Familiarity with commercial insurance, Medicare, Medicaid, and other payer requirements, as applicable
- Experience using electronic health record and practice-management systems
- High degree of accuracy, organization, and attention to detail
- Strong written and verbal communication skills
- Ability to explain billing matters to patients clearly, respectfully, and professionally
- Ability to work independently, prioritize responsibilities, and meet deadlines
- Sound judgment when handling confidential patient and financial information
- Knowledge of HIPAA and healthcare privacy requirements
Preferred Qualifications
- Professional billing or coding certification, such as CPB, CPC, or an equivalent credential
- Experience with claim-denial management and insurance follow-up
- Experience supporting the full billing cycle in a small healthcare practice
- Familiarity with our clinic’s specialty and payer mix
Schedule and Work Environment
This is a part-time position requiring approximately 20-30 hours per week. The schedule can be flexible as role requirements adjust, and the position will be on-site. Occasional schedule adjustments may be needed to meet billing deadlines or address time-sensitive payer issues.
Embark on a rewarding career where your expertise in medical billing and coding makes a real difference! We’re committed to supporting your professional growth while fostering a vibrant work environment dedicated to excellence in healthcare administration.
Pay: From $18.00 per hour
Benefits:
- 401(k)
- Health insurance
- Paid time off
Work Location: In person
