Remote Medical Billing and Coding Specialist

Remote, USA Full-time Posted 2025-04-26
  • *Join Our Team: Medical Billing and Coding Specialist Opportunity**

At our organization, we prioritize delivering exceptional service through exceptional team members. We are committed to fostering a supportive and rewarding work environment. We are currently seeking talented individuals with a passion for precision and a positive outlook to join our medical billing and coding team...

Key Responsibilities
? **ICD-10 Coding:** Accurately assign ICD-10 diagnosis codes to patient encounters based on medical documentation and established coding guidelines.
? **Claim Submission:** Prepare and submit electronic and paper claims to insurance payers in a timely manner, ensuring compliance with all relevant payer requirements.
? **Claim Follow-Up:** Monitor the status of claims, addressing any rejections, denials, or pending issues to ensure prompt payment processing.
? **Payment Posting:** Ensure accurate posting of payments, adjustments, and denials into the billing system while reconciling with billed amounts and agreements.
? **Registration Issue Resolution:** Tackle registration-related challenges including insurance verification, demographic updates, and eligibility discrepancies to maintain accurate billing and claims processing.
? **Appeal Claims:** Review denied claims, determine denial reasons, and prepare appeals for resubmission to insurance payers.
? **Reconciliation:** Regularly reconcile accounts receivable, identify discrepancies, and implement corrective actions to resolve outstanding balances.
? **Compliance:** Remain updated on current billing regulations, coding guidelines, and payer policies to ensure compliance with industry standards.

Qualifications
? Over 3 years of experience in medical billing and coding, with proficiency in ICD-10 coding guidelines and procedures.
? Expertise in electronic health record (EHR) systems and billing software.
? In-depth understanding of insurance billing processes, including submission, follow-up, and appeals.
? Strong analytical and problem-solving capabilities to effectively address billing and coding issues.
? Detail-oriented with a commitment to accuracy in data entry and documentation.
? Excellent written and verbal communication skills for professional interactions with patients, insurance payers, and internal teams.
? Certification as a Professional Coder (CPC) or equivalent is required.

Benefits
? Comprehensive employer-sponsored medical, dental, and vision insurance
? Accidental death and disability insurance
? Short-term disability coverage
? 401(k) plan with a 4.5% match
? Flexible spending account
? Generous paid time off
? Opportunities for career advancement

This role is fully remote, offering you the flexibility to work from home.

If you are ready to make a significant impact in medical billing and coding, we encourage you to apply!

Employment Type: Full-Time

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