POSITION SUMMARY

The Dermatology Billing and Coding Specialist is responsible for accurate coding, billing, and reimbursement of dermatology services. The role ensures compliance with federal and state regulations, payer policies, and internal procedures. The Specialist collaborates with providers, clinical staff, and insurance carriers to resolve billing issues, maintain documentation, and optimize revenue cycle performance.

KEY RESPONSIBILITES

Claims Management

Prepare, review, and submit claims to Medicare, Medicaid, commercial insurers, and private pay patients.
Monitor claim acceptance and adjudication; resolve denials, rejections, or underpayments.
Maintain documentation of billing processes and corrective actions. Coding and Documentation
Assign and verify ICD-10, CPT, and HCPCS codes accurately.
Ensure codes are sequenced correctly per payer and regulatory requirements.
Review patient charts for completeness and clarify unclear documentation. Accounts Receivable & Payment Posting
Manage AR aging reports and timely collection of balances.
Post electronic/paper remittances and reconcile payments with bank deposits.
Generate patient invoices and follow up on outstanding balances. Insurance Verification & Patient Financials
Verify patient insurance eligibility and benefits prior to services as needed.
Communicate patient financial responsibility, good faith estimates, and monitor payment plans. Compliance & Quality Improvement
Ensure billing practices comply with federal, state, and payer regulations.
Participate in audits, performance improvement, and revenue cycle initiatives. Collaboration & Communication
Work effectively with providers, staff, and insurers to resolve billing issues.
Maintain Professionalism and confidentiality when handling sensitive information.

MINIMUM JOB REQUIREMENTS

Associate's Degree in Business, Healthcare Administration, or related field or 5-10 years medical billing experience.
Minimum 2 years medical billing and coding experience in healthcare setting.
Knowledge of medical terminology, ICD-10, CPT-4, HCPCS coding, and

UV-04 CMS-1500

forms.

Proficiency in Microsoft Excel and Word.
Strong attention to detail, communication, and organizational skills.

PREFERRED JOB REQUIREMENTS

Experience in dermatology billing and coding (procedural and cosmetic services).
CPC, CCS, or equivalent coding certification.
Experience with EMR and billing systems. Core Competencies
Analytical and problem-solving skills.
Strong verbal and written communication.
Ability to work independently and prioritize tasks.
Professionalism, integrity, and commitment to compliance.
Friendly with excellent customer service skills.

Physical, Mental, and Environmental Conditions of the Essential Duties of the

Position:

To comply with the Americans with Disabilities Act of 1990 (ADA), which prohibits discrimination against qualified individuals on the basis of disability, it is necessary to specify the physical, mental and environmental conditions of the Essential Duties of the job. Use the following codes to complete this section: \"F\" = frequently; \"O\" - occasionally, \"N\" = not at all. Physical Mental Environmental On the job, the employee must: On the job, the employee must On the job, the employee is: be able to: Bend F Sit F Read/Comprehend N Exposed to excessive noise Squat F Stand O Write N Around moving machinery Crawl F Walk N Perform Calculations N Exposed to changes in temperatures and/or humidity Climb O Push/Pull F Communicate Orally N Exposed to dust, fumes, gases, Radiation Kneel O Reason and Analyze N Drives motorized equipment Manual Dexterity Other O Works in confined quarters Reach above Shoulder level

Other:

Use fine finger movements Must Carry /

Lift Loads of:

O Light (up to 25#) ___ Moderate (25-50#) Heavy (>50#) Background checks or licensing requirements Candidates must pass in order to quality for the position: o Criminal background check o Reference checks o Education verification o Licensing verification, if applicable o Medicare Exclusion List, if applicable o Drug test

Disclaimer:

This position description has been designed to indicate the general nature and level of work by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications which may be required of the employee assigned to the position. Frequent changes may occur in the job duties and assignments due to the nature of episodic patient flows and volumes. Cross-functionality, teamwork and flexibility are keys to success in the position. The information listed is intended to describe the general nature and level of work performed by people assigned to this classification. This job description is not intended to limit or modify the right of any supervisor to assign, direct and control the work of employees under his/her supervision.

Pay:

From $48,000.00 per year

Benefits:

Health insurance Paid time off

Work Location:

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