Medical Billing & Coding Specialist

•

Vascular Surgery Vascular Clinic PLLC Job Type:

Part-Time / Independent Contractor (1099)

Schedule:

Approximately 30 hours per week / 3 days per week

Compensation:

$28

•35 per hour, depending on experience

Benefits:

None

•Independent Contractor position About the Practice Vascular Clinic PLLC is a growing vascular surgery practice providing comprehensive office-based and hospital-based vascular care. We are seeking an experienced Medical Billing & Coding Specialist who can independently manage the day-to-day billing and revenue-cycle needs of the practice. This is not an entry-level position. We are looking for someone who understands medical billing and coding, takes ownership of outstanding issues, follows claims through resolution, and provides the physician and practice with clear and consistent reporting. Responsibilities The Medical Billing & Coding Specialist will be responsible for managing the billing and coding workflow for both office and hospital services, including: Review clinical documentation and accurately assign CPT, ICD-10-CM, and applicable modifier codes. Perform charge entry and ensure all office, hospital consultation, inpatient, procedural, and surgical charges are captured and submitted. Submit clean claims electronically and monitor claims through adjudication and payment. Review clearinghouse rejections and promptly correct and resubmit claims. Work insurance denials, including identifying the reason for denial, correcting claims, submitting reconsiderations/appeals, and following through until resolution. Perform insurance A/R follow-up and aggressively work outstanding and aging claims. Identify underpayments, unpaid claims, coding issues, and missed charges. Review EOBs/ERAs and ensure payments and adjustments are appropriately processed. Assist with insurance eligibility, benefits verification, and prior authorization workflows as needed. Coordinate with the physician and office staff when additional documentation or information is required. Maintain an organized tracking system for outstanding claims, denials, appeals, authorizations, and other billing issues. Provide regular reports showing claims submitted, outstanding A/R, denials, unresolved issues, and action items. Identify revenue-cycle problems and proactively recommend solutions rather than waiting for problems to be identified by the practice. Systems Used Experience with the following systems is strongly preferred: eClinicalWorks (eCW)

•practice EHR and billing workflow Epic

•hospital-based documentation and charge review

MEDITECH

Expanse

•including HCA hospital workflows Electronic clearinghouses and payer portals Candidates with strong eClinicalWorks experience will receive particular consideration.

Qualifications Required:

Minimum 3 years of hands-on medical billing and coding experience Strong knowledge of CPT, ICD-10-CM, modifiers, claim submission, denials, appeals, and A/R follow-up Experience independently managing claims from charge capture through payment Experience with commercial insurance, Medicare, Medicaid, and Medicare Advantage plans Strong organizational skills and attention to detail Ability to independently identify and resolve billing problems Excellent communication and follow-through Ability to provide transparent and accurate reporting regarding outstanding work

Strongly Preferred:

CPC, CCS, COC, CPB, or similar coding/billing certification Vascular surgery, cardiovascular surgery, interventional radiology, cardiology, or other surgical-specialty billing experience Experience coding vascular surgical and endovascular procedures Experience with eClinicalWorks Experience obtaining or managing prior authorizations for surgical and endovascular procedures Experience with hospital professional billing using Epic and/or

MEDITECH

Expanse Schedule Approximately 30 hours per week , generally structured as three days per week at approximately 10 hours per day . The successful candidate must be dependable and consistently available during the agreed-upon schedule. Compensation $28

•35 per hour , commensurate with billing/coding experience, certifications, vascular/surgical billing experience, and proficiency with eClinicalWorks. This position is structured as an independent contractor (1099) engagement and does not include employee benefits. What We Are Looking For We are specifically looking for someone who takes ownership and accountability for the revenue cycle. The ideal candidate does not simply submit claims. They actively track what has been billed, identify what has not been billed, work denials and outstanding A/R, communicate problems promptly, and follow each issue through resolution. Reliable communication, transparency, organization, and follow-through are essential for this position.

Pay:

$28.00

•$35.00 per hour

Benefits:

Flexible schedule

Work Location:

In person