Remote Medical Billing and Coding Specialist

Posted 2025-04-22
Remote, USA Full-time Immediate Start
  • *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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