Billing and Coding Specialist

What You'll Do

• Coding & Claims Management
• Review claims to ensure CPT, ICD-10-CM, and other applicable codes meet payer requirements and coding guidelines.
• Research and interpret coding-related denials and identify opportunities for resolution.
• Follow up on submitted and rejected claims and investigate billing discrepancies.
• Identify incomplete or inaccurate coding information and work with providers to obtain clarification or corrections.
• Research and apply federal, state, payer, and regulatory billing and coding requirements.
• Provider & Staff Education
• Serve as a resource to providers and clinic staff regarding coding questions and concerns.
• Provide education related to coding changes, requirements, and identified coding issues.
• Conduct annual coding audits to evaluate the accuracy and completeness of ICD-10-CM diagnosis and CPT procedure coding.
• Support accurate and complete clinical documentation and coding practices.
• Patient Billing & Account Management
• Collect, post, and manage patient account payments.
• Respond to patient questions regarding billing and statements.
• Establish payment plans and assist patients in managing outstanding balances.
• Provide professional and compassionate customer service when addressing billing questions.
• Revenue Cycle Support
• Support daily revenue cycle activities to promote accurate billing, coding compliance, and timely reimbursement.
• Identify trends or recurring issues that may impact billing accuracy or reimbursement.
• Collaborate with internal teams, providers, insurance representatives, and other partners to resolve billing and coding issues.

What We're Looking For

• Associate degree or equivalent from a two-year college or technical school; or six months to one year of related experience and/or training; or an equivalent combination of education and experience.
• Strong knowledge of medical billing, coding, reimbursement methodologies, and revenue cycle processes.
• Knowledge of ICD-10-CM, CPT, and HCPCS coding principles and guidelines.
• Understanding of healthcare reimbursement practices and payer requirements.
• Knowledge of clinical documentation requirements and their relationship to accurate coding and billing.
• Knowledge of federal and state healthcare regulations related to documentation, coding, and billing.
• Familiarity with Medicare, HMOs, PPOs, and other third-party payers.
• Strong analytical and problem-solving skills.
• Excellent attention to detail and accuracy.
• Strong organizational and time management skills with the ability to manage multiple priorities and meet deadlines.
• Excellent verbal and written communication skills.
• Proficiency with Microsoft Office applications and electronic health record (EHR) systems.
• CPC or CCS-P certification preferred.
• CPR certification required.

Why Join Noble Community Clinics?

At Noble, you'll be part of a mission-driven organization focused on providing accessible, high-quality healthcare to the communities we serve. In this role, your work directly supports our providers, patients, and the financial sustainability of the organization.

Benefits

• 20 days of PTO (accrual starts on day one)
• 8 paid holidays
• 401(k) with up to 5% employer match
• Medical, dental, and vision insurance
• Employer paid short- and long-term disability
• Employer paid life insurance