Find & Apply For Billing Clerk / Specialist Jobs in Holly Springs, North Carolina

Job Title:

Revenue Cycle & Coding Specialist Location:

ECPC Pain Specialists - Wake offices

Status:

Full-Time, Non-Exempt Department:

Administrative - ECPC Pain Specialists Wake offices

Reports To:

Dr. Keogh, Dr. Avila, Katie and Alanna (Leadership Team)

Schedule:

Monday-Thursday:

7:30 AM - 4:00 PM;

Fridays:

7:30 AM - 3:00 PM Position Summary At ECPC Pain Specialists Wake offices, we are dedicated to providing exceptional care guided by our core values of compassion, integrity, accountability, and teamwork. We are currently seeking a detail-oriented, analytical, and dependable Revenue Cycle & Coding Specialist to join our administrative team at ECPC Pain Specialists - Wake offices. This individual will play a critical role in supporting the financial health and revenue cycle of the practice by reviewing medical documentation and coding, monitoring accounts receivable, investigating unpaid and denied claims, and working closely with our third-party billing company to identify and resolve reimbursement issues. This position will help ensure that services are accurately coded, claims are appropriately submitted and followed through, and outstanding balances are actively addressed. The ideal candidate will have strong knowledge of medical coding, insurance processes, claims and reimbursement, and medical documentation. He/she will be comfortable researching the reason behind unpaid or denied claims, identifying what needs to be corrected, and persistently following issues through to resolution. Strong attention to detail, organization, accountability, and the ability to work independently while collaborating closely with physicians, clinical staff, administrative team members, and our billing company are essential. This is an excellent opportunity for someone who enjoys problem-solving, takes ownership of their work, and wants to play an important role in improving the efficiency, accuracy, and financial performance of a growing specialty practice. Key Responsibilities Review medical records, encounter documentation, and clinical notes to support accurate and complete medical coding and charge capture. Assign and/or review appropriate ICD-10 and CPT codes and identify documentation or coding discrepancies that may impact claim submission or reimbursement. Review claims, insurance responses, EOBs/ERAs, payer correspondence, and other billing information to identify outstanding issues affecting payment. Monitor accounts receivable and aging reports to identify unpaid, denied, underpaid, or otherwise unresolved claims requiring follow-up. Investigate the underlying reason for claim denials, rejections, non-payments, or underpayments and determine the appropriate next steps for resolution. Work directly with our third-party billing company to research outstanding claims, communicate needed corrections or additional information, and ensure appropriate follow-up is completed. Follow claims through the revenue cycle, including corrected claims, resubmissions, reconsiderations, appeals, and other payer follow-up as appropriate. Review and research documentation, coding, authorization, eligibility, medical necessity, and payer-related issues contributing to claim denials or delayed reimbursement. Assist with appeals and denial resolution by gathering supporting medical documentation, coding information, and other necessary records. Communicate with physicians, clinical staff, administrative team members, and the billing company to obtain information needed to resolve coding, documentation, or reimbursement issues. Identify recurring billing, coding, or claims issues and communicate trends to leadership to help improve processes and prevent future denials or payment delays. Maintain accurate and timely documentation of billing and claim follow-up activities within the appropriate systems. Utilize Electronic Medical Records (specifically eClinical Works), payer portals, billing systems, Microsoft Office, and other technology to research, document, and resolve revenue-cycle issues. Protect patient information and maintain strict compliance with HIPAA and PHI requirements. Assist with other billing, coding, revenue-cycle, and administrative projects as assigned.

Qualifications Education & Experience:

High school diploma or equivalent required; associate degree or additional healthcare/business education preferred. Minimum of 2 years of experience in medical coding, medical billing, claims follow-up, accounts receivable, revenue cycle, or a related healthcare administrative role. Hands-on experience reviewing medical documentation and applying knowledge of ICD-10 and CPT coding. Experience researching insurance claims, denials, non-payments, or reimbursement issues. Experience working with insurance companies, payer portals, billing departments, or third-party billing companies strongly preferred. Experience in pain management, orthopedics, spine, or another specialty practice is strongly preferred. Experience using Electronic Medical Records (EMR) systems; experience with eClinicalWorks is preferred. Strong working knowledge of medical terminology, ICD-10, CPT codes, insurance plans, claims processes, and payer requirements. Medical coding certification such as CPC, CCS, or equivalent is preferred but not required. Required Skills & Attributes Self-motivated and driven self-starter who takes initiative, works independently, and is eager to develop and grow the role by applying their experience and identifying opportunities to improve processes and support the practice's evolving needs. Demonstrates compassion and professionalism in all interactions with patients, providers, and team members. Exhibits integrity through accurate, honest, and confidential handling of patient, billing, and financial information. Demonstrates accountability by taking ownership of assigned work, following issues through to completion, and proactively communicating when additional support or direction is needed. Embraces teamwork by being a dependable, adaptable, and proactive contributor to the administrative team. Excellent analytical, organizational, problem-solving, and attention-to-detail skills. Strong ability to research complex or unresolved billing issues and identify the appropriate path toward resolution. Highly dependable with the ability to prioritize multiple tasks, meet deadlines, and manage changing priorities in a fast-paced environment. Persistent and resourceful when following up on outstanding claims, denials, and reimbursement issues. Strong written and verbal communication skills with the ability to communicate effectively with physicians, clinical staff, administrative team members, payers, and third-party billing representatives. Comfortable working independently and managing assigned responsibilities with minimal supervision. Positive attitude and willingness to learn, adapt, and contribute to continuous process improvement. Fluent communication abilities in English, both written and verbal. Work Environment & Physical Requirements Work is performed on-site in the ECPC Pain Specialists business office in Holly Springs, NC, supporting the clinical offices. Frequent interaction with physicians, clinical staff, administrative team members, and third-party billing representatives. Must be self-motivated and be able to manage routine interruptions, changing priorities, and time-sensitive billing and claims issues as needed. Must be physically able to work on a computer for eight hours per day. Must be able to participate in phone and virtual communication throughout the workday. Prolonged sitting.

ECAA/ECPC

is an equal opportunity employer and does not discriminate against any applicant or employee on the basis of age, race, color, religion, sex, national origin, genetic information, disability, or other legally protected status. This policy extends to all terms, conditions, and privileges of employment, as well as the use of the Company's facilities and participation in all activities sponsored by the Company.