Medical Billing and Coding Specialist Position Available In Davidson, Tennessee

Medical Billing and Coding Specialist Athena Care – 4.3

Nashville, TN Job Details Full-time Estimated:

$42.3K – $52.2K a year 2 days ago Benefits Health savings account Health insurance Dental insurance 401(k) Paid time off Vision insurance 401(k) matching Life insurance Retirement plan Qualifications Athenahealth Psychological testing EHR systems Medical coding HIPAA Mid-level Outpatient 3 years eClinicalWorks High school diploma or GED Medical coding experience (3-5 years) ICD-10 Medical billing CPT coding Organizational skills EMR systems Medical Billing Certification Communication skills Behavioral health Full Job Description Athena Care is a growing insurance-based practice focused on expanding and meeting the mental health needs of our community while maintaining the strong clinician and patient-focused values we’ve held dear for over twenty years. We offer psychological testing, IOP/PHP, Spravato/IM Ketamine, TMS, psychotherapy, group therapy, and general psychiatry under one roof for our patients. We are currently seeking a Medical Billing & Coding Specialist to join the Athena Care team! The Medical Billing & Coding Specialist is responsible for submitting accurate medical claims to insurance companies, ensuring timely reimbursement for healthcare services rendered. This role requires a deep understanding of medical coding, insurance policies, and billing regulations to avoid claim denials. The Medical Billing & Coding Specialist works closely with healthcare providers, RCM team members, and insurance companies to resolve discrepancies, clarify coding issues, and follow up on claims. Core Job Duties & Responsibilities Submit clean and accurate medical claims to insurance companies based on patient encounters and service documentation in a timely manner. Ensure that claims meet all insurance requirements to prevent delays or rejections. Review and resolve any issues identified by the claim scrubbers (front-end edits) before submitting claims to the payer. Identify errors such as incorrect codes, missing information, or inconsistencies, and correct them to ensure successful claim submission. Review coding for accuracy and ensure the correct use of CPT, ICD-10, and HCPCS codes. Identify and notify providers of any coding discrepancies, including missing or incorrect codes. Resolve coding-related issues by contacting providers for clarification or additional documentation when necessary. Serve as a resource and subject matter export to other team members. Notify healthcare providers of coding issues, incomplete claims, or missing information, and follow up until issues are resolved. Communicate clearly and professionally with providers to ensure that claims are correctly coded and resubmitted in a timely manner. Analyze and investigate denied or rejected claims to identify the root cause of the issue. Work with insurance companies and providers to resolve denied claims or appeal decisions where necessary. Maintain accurate and complete records of all claims, inquiries, and communications with providers and payers. Ensure compliance with all federal, state, and payer-specific billing regulations and guidelines. Other job duties as assigned.

Job Requirements and Qualifications:

Education/Experience:

High school diploma or equivalent. 3 or more years of experience in medical billing, coding, or claims processing required. Experience working in healthcare organization with 50 or more providers in a multidisciplinary setting preferred Experience working in behavioral health strongly preferred Experience working with eCW or similar EMR/EHR system preferred

Licenses/Certifications:

Certification in Medical Billing and Coding strongly preferred. Knowledge, Skills, & Abilities Knowledge of HIPAA rules related to patient billing Knowledge of

CPT, ICD-10, HCPCS

coding, and insurance terminology Excellent verbal and written communication skills Ability to effectively and collaboratively communicate with peers, providers, and leadership to resolve questions Proficient with medical billing software and claim scrubber tools Highly organized and detail-oriented; strong attention to detail and accuracy Collaborative and team-oriented Flexible, adaptable, and able to move between tasks regularly Ability to troubleshoot and resolve billing issues efficiently Strong customer focus Physical Requirements This is an office-based and primarily sedentary role with minimal physical requirements.

Job Type:

Full-time Expected hours: 40 per week

Benefits:

401(k) 401(k) matching Dental insurance Health insurance Health savings account Life insurance Paid time off Retirement plan Vision insurance

Schedule:

8 hour shift Monday to

Friday Experience:

Medical coding: 3 years (Preferred) Medical billing: 1 year (Preferred) outpatient behavioral health: 1 year (Preferred) e

ClinicalWorks:

1 year (Preferred)

Work Location:

Hybrid remote in Nashville, TN 37228