Billing Coding Specialist

Job Description - Medical Billing and Coding Specialist

Come Grow With Us! If you are a team player, have leadership skills, want to work in an exciting, fast-paced environment, where you can provide meaningful contributions and make a difference in the lives of patients. We encourage you to apply!!

• Reviews and verifies assigned codes and sequences diagnosis and procedures according to regulations (e.g., ICD-10-CM, CPT, HCPCS coding guidelines) and abstracts accurate clinical information to obtain the most specific code possible to ensure accurate health information database.
• Research and resolve billing problems and issues
• Contacts physicians or other employees for clarification of information in the patient’s chart as necessary.
• Maintains up-to-date knowledge of coding and regulatory requirements to accurately assign codes for appropriate reimbursement of healthcare services. 
• Utilize web-based tools, coding books, and other available resources to facilitate providing insurance and regulatory companies with the required information.
• Responds to inquiries from providers and various internal departments in a timely and accurate professional manner.
• Assigns charges for self-pay patients, bills patients for balances, collect payments from patients via phone.
• Reviews and updates patients’ insurance and demographic information
• Identifies past-due bills and sends for statement processing
• Answers questions regarding payments and reimbursements 
• Interacts with private and government payers to facilitate the prompt payment of accounts receivable.
• Other duties as assigned.

2. Skills/Abilities: 

• Must be knowledgeable of medical and insurance terminology
• Ability to multi-task and learn new procedures, solve problems effectively
• Well organized and great attention to detail
• Ability to work independently and perform assigned duties effectively and efficiently
• Flexible, team player

3. Education/Certification: 

• Coding Certification through AHIMA or AAPC is required (CPC, CPC-A, CCA, CCS, CCS-P, RHIT, RHIA, etc.)
• High School Diploma required
• Associate degree preferred

4. Experience: 

• Minimum two years of coding/billing experience in a medical office or a hospital environment required 
• EClinicalWorks EHR software experience preferred

5. Work hours and location:

• This is a regular, full-time position based out of our business office in Winter Springs. The opportunity of limited work from home. The typical work schedule is 40 hours/week, Monday-Friday (may include occasional weekends or after-hours).

6. Benefits:

• 401(k)
• Medical, dental, and vision insurances
• Disability insurance
• Employee assistance program
• Employee discounts
• Flexible spending account
• Life insurance
• Paid time off
• Professional development assistance
• Retirement plan
• Tuition reimbursement