Top 8733 Medical biller Jobs in Usa)

Senior Medical Billing & Coding Specialist
The Talcott Center for Child Development —Farmington, CT
- $90,000 - $110,000 a year
- Full-time
- 3 years
- High school diploma or GED
- Analysis skills
- Health insurance
- Paid time off
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FACILITY INPATIENT CODING SPECIALIST
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Senior Medical Billing & Coding Specialist

The Talcott Center for Child Development -
Farmington, CT

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Job Details

Full-time
$90,000 - $110,000 a year

Benefits

Health insurance
Paid time off
401(k) matching

Qualifications

Dashboard development
Appeals
Teamwork
Overseeing healthcare denial management
Metrics Reporting
Medical coding experience in outpatient clinics
High school diploma or GED
Certified Professional Coder
Bachelor's degree
Clinical information systems
Certified Coding Specialist
Medical insurance appeals management
Management reporting
Insurance claims appeal handling
Healthcare performance metrics analysis
Analytics

Full Job Description

Senior Medical Billing & Coding Specialist (Revenue Cycle – Pediatric Therapy | )

About The Talcott Center for Child Development

The Talcott Center for Child Development is a multidisciplinary pediatric provider based in Farmington, Connecticut, offering Applied Behavior Analysis (ABA), Speech Therapy, Occupational Therapy, Physical Therapy, Family Counseling, and Developmental Diagnostic Services.

Our model is built on integrated, family-centered care and a commitment to clinical and operational excellence. As we continue to grow, we are investing in building a best-in-class revenue cycle function that ensures accuracy, compliance, and long-term sustainability.

Position Overview

We are seeking a Senior Medical Billing & Coding Specialist with active coding certification (CPC, CCS, or equivalent) to take a leading role in strengthening our billing operations and revenue cycle performance.

This is a high-impact role responsible for:

Ensuring coding accuracy and compliance across multiple service lines
Driving clean claim performance and denial reduction
Designing and reporting on key revenue cycle KPIs
Identifying and implementing process improvements across billing and coding workflows

The ideal candidate brings deep expertise in outpatient therapy, diagnostic evaluation, and family-centered services billing, with the ability to move beyond execution into systems design and performance optimization.

Key Responsibilities

Billing & Revenue Cycle Execution

Oversee accurate charge capture, coding validation, and claim submission across:
ABA (Applied Behavior Analysis)
Speech, Occupational, and Physical Therapy
Family Counseling and Developmental Diagnostic Services
Manage the full claim lifecycle: submission, adjudication, denial resolution, and appeals
Ensure timely and accurate payment posting and account reconciliation

Coding & Compliance Leadership

Serve as internal subject matter expert on CPT, ICD-10, and payer-specific billing requirements, including:
Therapy and ABA service codes
Diagnostic evaluation codes (e.g., 90791 and related services as applicable)
Family counseling and developmental diagnostic services
Conduct routine coding audits to ensure accuracy, compliance, and optimal reimbursement
Interpret payer policies and navigate variability across commercial plans and managed care
Partner with clinical leadership to ensure documentation supports billed services

KPI Development & Reporting

Design, implement, and maintain revenue cycle KPIs and dashboards, including:
Clean claim rate
Denial rate and denial categories
Days in Accounts Receivable (AR)
Net collection rate
Time to claim submission
Produce weekly and monthly reporting with clear insights and actionable recommendations
Establish baseline performance and track measurable improvement over time

Revenue Optimization & Process Improvement

Analyze trends in denials, underpayments, and payer behavior across all service lines
Identify root causes and implement corrective actions to improve reimbursement and reduce rework
Develop and document standard operating procedures (SOPs) for billing and coding workflows
Support scaling of billing operations as the organization expands

Cross-Functional Collaboration

Collaborate with intake and client services teams on benefit structures and cost transparency when needed
Serve as an internal resource on billing, coding, and payer-specific nuances
Contribute to a culture of accountability, accuracy, and continuous improvement

Qualifications

Required

Active certification: CPC (AAPC), CCS (AHIMA), or equivalent
3–5+ years of medical billing and coding experience, with increasing responsibility
Strong knowledge of:
Outpatient therapy billing (ABA, SLP, OT, PT)
Diagnostic evaluation and family-centered service coding
Demonstrated experience with denial management, appeals, and revenue cycle analysis
Experience building or reporting on RCM KPIs and performance metrics
Proficiency with EMR / billing systems (CentralReach preferred or similar platforms)
Strong analytical, organizational, and communication skills

Preferred

Experience in pediatric and multidisciplinary therapy settings
Familiarity with multi-payer environments including Aetna, Anthem, UnitedHealthcare, Cigna, etc.
Experience with process design, workflow optimization, or system implementation
Comfort working in office or remote, collaborative environment
Bachelor's Degree preferred

Compensation & Structure

This role is positioned as a senior individual contributor with ownership of revenue cycle performance.

$90,000- $110,000 base salary, commensurate with experience
Potential to exceed range for candidates with deep specialty expertise , education, extensive RCM experience and demonstrated impact

Optional performance bonus tied to:

Clean claim rate improvement
Denial reduction
AR performance and collections

Work Structure

Onsite - Farmington CT

Benefits

Health insurance
401(k) with company match
Paid time off
Opportunity to play a central role in building a high-performing revenue cycle function

Why This Role Matters

This role sits at the intersection of clinical integrity, financial performance, and operational scale.

You will help build the systems that ensure families can access care, clinicians are supported, and the organization continues to grow with strength and discipline.

Equal Opportunity Employer
The Talcott Center for Child Development is an equal opportunity employer and does not discriminate based on race, color, religion, sex, national origin, age, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by law.

Job Type: Full-time

Education:

High school or equivalent (Preferred)

Work Location: In person

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