Medical Coding & Billing Specialist

Specialized Medical Billing is looking for a Certified Medical Billing Coder, (CPC, CMC, or CCS) and or Billing Specialist to join our team our team, MUST be located in the state of OHIO. Out of state applicants will not be considered. Not a remote position. This is an in-office position and out of state resumes will not be reviewed! Part-time or Fulltime No Weekends or evenings as a part of your regular shift. Flexible schedule available. Benefits offered, disability and Paid Time Off after initial employment period. We are seeking an experienced Certified Medical Coder and/or Medical Billing Specialist to support accurate coding, timely charge entry, and compliance with payer and federal guidelines. Key Responsibilities for

Billing Specialist:

Verify patient insurance eligibility, benefits, and authorizations Review clinical documentation for accuracy and completeness Enter charges and create claims using ICD-10, CPT, and HCPCS codes Submit electronic and paper claims to commercial, Medicare, and Medicaid payers Post payments, adjustments, and patient responsibility from EOBs/ERAs Identify, research, and resolve claim rejections and denials Prepare and submit corrected claims and appeals as needed Perform consistent A/R follow-up on unpaid and underpaid claims Communicate with insurance carriers to resolve billing discrepancies Respond to patient billing inquiries professionally and accurately Ensure compliance with payer guidelines, HIPAA, and billing regulations Maintain detailed documentation of all account activity Generate and review billing and A/R reports Collaborate with coding, front desk, and clinical staff to resolve issues Key Responsibilities for

Coding Specialist:

Review medical records and physician documentation to assign accurate CPT, ICD-10-CM, and HCPCS codes Ensure coding meets payer, CCI, and federal compliance guidelines Enter charges within 24-48 hours of complete documentation Append appropriate modifiers and re-code denied or incorrect claims Identify missing charges and ensure all services are entered by month-end Communicate with physicians, office managers, and staff regarding coding or billing questions Audit charts for accuracy, compliance, and optimal reimbursement Maintain strict HIPAA compliance

Qualifications:

CPC, CCS, CPB, or equivalent certification required for Coder Experience with EMR/EHR systems and Microsoft Outlook Strong attention to detail and ability to meet deadlines Excellent communication and organizational skills Specialty coding experience a plus.

Pay:

$16.00 - $19.00 per hour

Job Types:

Full-time, Part-time Pay:

$16.00 - $20.00 per hour

Benefits:

Flexible schedule Health insurance Life insurance Paid time off

Experience:

ICD-10: 3 years (Preferred)

Work Location:

In person