Medical Billing and Coding Specialist

This is a fully remote position, open to applicants in Texas.

📋 Description

• Manage the coding and submission of claims, oversee insurance denial handling, and process payments, which includes Medicaid and Medicare transactions.

• Examine coding and submit precise claims based on patient medical documentation utilizing CPT and ICD-10 coding standards.

• Follow up on denied insurance claims and those that have not been processed.

• Handle and record payments, including those related to Medicaid and Medicare.

• Address and resolve outstanding receivables.

• Respond to inquiries from client personnel and healthcare providers.

• Ensure all coding adheres to federal, legal, and insurance regulations.

• Identify and resolve billing and coding discrepancies by liaising with relevant parties.

• Collaborate with internal departments as necessary.

• Maintain consistent and reliable attendance while fostering a positive attitude to enhance the work environment.

⛳️ Requirements

• Minimum Education: High School Diploma or GED.

• Valid Certified Professional Coder Certification.

• At least 3 years of experience in medical billing and coding within healthcare, medical office billing, or insurance sectors.

• Experience with Federally Qualified Health Centers (FQHC), Primary Care Associations (PCA), or Tribal Health Organizations is preferred.

• Excellent oral and written communication skills, showcasing responsiveness to both clients and colleagues.

• Proficient in Microsoft Office Suite and relevant software tools, particularly electronic health record (EHR) systems.

• Strong understanding of medical terminology, as well as CPT and ICD-10 coding standards.

🏝️ Benefits

• Health insurance.

• Professional development opportunities.