What are the responsibilities and job description for the Billing and Coding Specialist position at Gadjab?
Gadzoom Health is a growing Medical Directorship Group dedicated to providing exceptional care to patients in skilled nursing facilities. We are committed to delivering high-quality services and improving the health outcomes of our patients. Our team consists of skilled professionals who are passionate about making a difference in the lives of others.
We are seeking a skilled and detail oriented Billing and Coding Specialist to support accurate claim generation, coding review, and documentation integrity for our services in skilled nursing facilities across multiple states. This position will ensure that all codes are accurate, compliant, supported by documentation, and aligned with payer guidelines to prevent denials and delays. The Billing and Coding Specialist will report to the Director of Revenue Cycle Management and work closely with SNF partners, practitioners, and internal teams to support clean claims, timely reimbursement, and compliant workflows.
This position is a full-time, in office role with the potential to transition to a hybrid schedule at the discretion of the manager.
Key Responsibilities:
Medical Coding and Documentation Review:
- Assign accurate CPT, ICD 10, and HCPCS codes supported by clinical documentation
- Conduct coding reviews and flag recurring errors for staff training
- Collaborate with providers regarding missing or unclear documentation
- Ensure compliance with coding guidelines, payer rules, and medical necessity
Billing and Claim Operations:
- Complete timely and accurate charge entry
- Prepare and submit claims in accordance with regulatory and payer requirements
- Resolve coding related denials and discrepancies
- Monitor claim status and support documentation requests
Compliance and Collaboration:
- Maintain coding accuracy, documentation integrity, and audit readiness
- Update internal systems and records as needed
- Partner with SNFs, providers, and billing teams to improve workflows and reduce errors
Helpful Knowledge, Skills and Abilities:
- 3-5 years of billing and coding experience preferred
- CPC or CCS certifications a plus
- Expert knowledge of CPT, ICD 10, HCPCS codes, and modifiers
- Strong understanding of coding guidelines, payer rules, and medical necessity
- In depth knowledge of claim submission and adjudication processes
- Familiarity with medical terminology, HIPAA, and EHR systems
- Experience with multi state or SNF based healthcare workflows
- High attention to detail with strong organizational skills
- Proficiency with Microsoft Excel, Outlook, and Word
- Ability to manage confidential information with professionalism
Benefits:
- Comprehensive benefits package including health insurance, dental, vision, and more
- Health savings account
- Paid time off plus six company paid holidays
- Opportunities for professional development and career advancement within a growing healthcare organization