Job Overview We are seeking a highly motivated and detail-oriented Certified Medical Billing and Coding Specialist to join our dynamic healthcare team. In this vital role, you will be responsible for accurately coding medical procedures and diagnoses, managing insurance claims, and ensuring seamless revenue cycle management. Your expertise will directly impact the efficiency of billing processes, reimbursement accuracy, and the overall financial health of our organization. If you thrive in a fast-paced environment and possess a passion for precision in medical documentation, this opportunity is perfect for you! Position Summary The Medical Billing & Coding Specialist will be responsible for accurate and timely medical billing, coding, claims submission, insurance follow-up, accounts receivable, and resolution of billing issues. The ideal candidate will have strong knowledge of CPT, ICD-10-CM, HCPCS, insurance requirements, and professional-fee medical billing , with excellent attention to detail and the ability to work independently in a busy medical office environment. Responsibilities Review patient medical records and provider documentation for accurate coding and billing. Enter and post provider charges accurately and on time. Prepare, submit, and monitor electronic and paper insurance claims. Verify that claims contain accurate patient, provider, diagnosis, procedure, and insurance information. Review Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs). Research and resolve rejected, denied, and unpaid claims. Follow up with insurance companies regarding outstanding claims and reimbursement issues. Maintain and work assigned accounts receivable (A/R) . Post insurance payments, adjustments, and patient payments accurately. Identify and correct billing and coding discrepancies. Submit corrected claims and appeals when appropriate. Communicate with providers and clinical staff regarding documentation and coding questions. Maintain knowledge of current CPT, ICD-10-CM, HCPCS, payer policies, and billing regulations. Assist with insurance eligibility or authorization issues as needed. Respond professionally and compassionately to patient questions regarding billing and insurance. Maintain patient confidentiality and comply with HIPAA and all applicable regulations. Maintain accurate billing records and documentation. Assist with additional billing and administrative duties as needed. Requirements Proven experience, minimum of 2 years, in a medical office setting. Ability to interpret medical documentation accurately while adhering to current coding standards for both outpatient and inpatient services. Excellent communication skills to collaborate effectively with healthcare providers, insurance companies, and team members.

Preffered Expertise:

CPC, CCS-P, CPB, or similar certification OB/GYN billing experience Insurance denials and appeals Considered a plus to have experience with the Modernizing Medicine EMR system Join us as a Certified Medical Billing and Coding Specialist where your expertise will drive efficiency in healthcare reimbursement processes! We value precision, accountability, and continuous learning—help us deliver exceptional service while advancing your career in the thriving field of medical billing and coding!

Pay:

$18.00 - $24.00 per hour Expected hours: 40.0 per week

Benefits:

401(k) Dental insurance Health insurance Life insurance Paid time off

Work Location:

In person