Billing Specialist w/CPC
Description
Description Step Into a Role Where Your Billing Expertise Drives Impact & Excellence!
Hiring Range
Hiring Range: $27.45 - $31.57 per hour
Position Close Date
Position Close Date: August 12, 2026
About the Role
We are seeking an experienced Billing Specialist with CPC to join our Patient Accounts team. In this role, you'll play a vital part in ensuring accurate medical coding, billing compliance, and timely claim submission while partnering with providers to improve documentation and reimbursement.
Responsibilities
- Review electronic medical records (EMRs) to ensure documentation supports appropriate Evaluation & Management (E/M), ICD-10-CM, CPT, and HCPCS coding.
- Verify medical necessity, coding accuracy, modifiers, and payer information before releasing encounters for billing.
- Communicate documentation deficiencies to providers and provide education to improve coding accuracy and compliance.
- Collaborate with physicians, Patient Accounts, and Information Technology teams to resolve coding, billing, and documentation issues.
- Review provider task queues and coding worklists daily to ensure timely processing.
- Reconcile unbilled encounter reports and resolve outstanding billing issues.
- Stay current with coding guidelines, payer regulations, and industry updates to maintain coding credentials.
- Assist with training new team members and support ongoing provider education initiatives.
- Maintain strict compliance with HIPAA, organizational policies, and regulatory requirements.
Requirements
- High school diploma or GED.
- Current Certified Professional Coder (CPC), CPC-A, Certified Coding Associate (CCA), or Certified Coding Specialist (CCS) credential.
- Minimum of three years of recent medical coding and/or charge billing experience (within the last four years), or an equivalent combination of education and experience.
- Experience working with Electronic Health Records (EHR/EMR) and practice management systems.
- Proficiency with Microsoft Office (Word, Excel, and Outlook).
- Strong analytical, organizational, communication, and time management skills.
Preferred Qualifications
- Family Practice coding experience.
- Experience working in a fast-paced outpatient healthcare environment.
Why PTHA?
We are more than a clinic — we're a culturally grounded, patient-first health and wellness center serving the Indigenous community. We value teamwork, integrity, and community well-being. Here, your work has meaning.
Premiums Paid
Premiums paid 100% by PTHA for employees (health coverage begins the first of the month following hire date)
Annual Leave
(13) annual leave (vacation) days + (13) annual sick leave days
Annual Paid Holidays
(18+) annual paid holidays including a birthday holiday
401(k) with Annual Profit-Sharing Contributions
401(k) with annual profit-sharing contributions after (1) years of service
Life and AD&D Insurance Coverage
Life and AD&D insurance coverage
Student Loans Repayment
Have student loans? PTHA is an approved loan repayment site for various student loan programs
Native American Preference in Employment
In accordance with federal law, Native American Preference in employment applies and job placements are given on a competitive basis, using job related factors.