Medical Coder and Biller

Lincoln Family Medical Group is seeking a detail-oriented Medical Coding Specialist to support our primary care practice. This role is responsible for reviewing visit documentation, assigning accurate ICD-10-CM codes, and ensuring timely and compliant claim submission.

The ideal candidate has strong experience in medical coding, understands payer requirements, and can effectively manage claim workflows, denials, and reimbursement processes in a primary care clinic environment.

Job Description

Coding & Documentation

• Review office visit notes and assign accurate ICD-10-CM codes for diagnoses and services.
• Ensure all services, including exams, procedures, labs, and vaccines, are fully captured and coded.
• Apply appropriate health maintenance and quality measure coding.
• Verify completeness and accuracy of clinical documentation.

Claims & Revenue Cycle Management

• Prepare and submit claims for all patient visits in a timely manner.
• Monitor claim status through work queues (e.g., claims lists, rejection buckets).
• Investigate, correct, and resubmit denied or rejected claims.
• Manage payer rejections, paper denials, and follow-up processes.
• Track and report recurring denial trends to improve reimbursement processes.
• Maintain and reconcile insurance ledgers.
• Submit specialized claims, including home health and hospital-related charges as applicable.

Collaboration & Communication

• Communicate with providers to clarify documentation and resolve coding discrepancies.
• Serve as a resource for coding guidelines and documentation best practices.
• Support a team-based approach to ensure accurate and efficient billing operations.

Compliance & Quality

• Ensure all coding and billing activities comply with payer requirements, including Medicare and Medicaid.
• Follow established coding guidelines and ethical standards.
• Maintain patient confidentiality and adhere to all HIPAA regulations.

Requirements

• 1 Year of Medical Coding (Family Practice Preferred)
• Strong understanding of medical terminology, anatomy, and disease processes.
• Knowledge of insurance guidelines, claims processes, and denial management.
• Ability to analyze documentation and identify missing or incorrect information.
• Strong attention to detail and organizational skills.
• Effective communication skills for working with providers and staff.
• Ability to prioritize tasks and work independently in a fast-paced setting.
• Proficiency with EHR and billing systems.

Benefits:

• 401(k) matching
• Dental insurance
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person