Billing and Coding Specialist

About Us

Pinnacle Fertility is a leading fertility care platform dedicated to fulfilling dreams by building families. We support a nationwide network of fertility clinics, providing innovative technology, compassionate patient care, and comprehensive fertility treatment services to ensure a seamless, high-touch experience for every family. Learn more about us at www.pinnaclefertility.com.

About the Role

We are seeking a detail-oriented and highly skilled Billing and Coding Specialist to join our team. This individual will play a critical role in ensuring accurate and timely medical coding for fertility procedures, adhering to compliance regulations, and supporting efficient billing operations. The ideal candidate has strong analytical skills, proficiency in medical coding, and experience managing complex charge scenarios within a healthcare environment.

We are seeking a Billing and Coding Specialist to join our dedicated team at Pinnacle Fertility in Scottsdale, AZ. This full-time, on-site role is scheduled Monday through Friday and requires availability between 7:00 AM and 5:00 PM.

Key Responsibilities

• Review patient records and assign accurate diagnosis codes (ICD-10), CPT, and HCPCS codes based on clinical documentation.
• Prepare and submit complex and high-dollar insurance claims, ensuring detailed and accurate documentation for claim approval.
• Utilize coding guides and electronic health record (EHR) systems to manage and update charge entries.
• Participate in internal and external coding audits, addressing and correcting any findings.
• Ensure compliance with federal, state, and payer regulations regarding medical coding standards.
• Resolve coding discrepancies, including re-coding as necessary and escalating issues to leadership as needed.
• Maintain accurate documentation and reports of coding processes and interactions with leadership regarding coding queries.
• Collaborate with team members and leadership to obtain missing or clarifying information necessary for accurate coding.
• Engage in ongoing training and professional development to stay current with evolving coding regulations and industry updates.
• Other duties and projects assigned.

Position Requirements

• Education:
  • High school diploma or equivalent required.
  • Bachelor’s degree or higher preferred.
  • Certified Coding Associate (CCA) or Certified Professional Coder (CPC) preferred.
• Experience:
  • Minimum of 2 years of experience in medical coding or related healthcare roles.
• Skills:
  • Strong attention to detail and exceptional accuracy in coding.
  • Proficiency in coding software and EHR systems.
  • Excellent verbal and written communication skills for documentation and collaboration.
  • Strong problem-solving skills to manage complex charge scenarios.
  • Ability to work independently and manage multiple tasks effectively.

Compensation & Benefits

• Hourly Rate: Final offers will be based on experience, skills, and qualifications.
• Benefits: Comprehensive healthcare, dental, life, and vision insurance. Additional benefits include generous paid time off (PTO), paid holidays, and a retirement savings program. Further details will be provided during the interview process.

Diversity & Inclusivity at Pinnacle Fertility

At Pinnacle Fertility, we celebrate diversity and are committed to creating an inclusive environment for all team members. We are proud to be an equal-opportunity employer and encourage applicants from all backgrounds, abilities, and life experiences to apply.