Jobs · Analyst

Certified Coding and Billing Specialist (Primary Care)

RemoteHunter · United States · 3 wk ago
RemoteRemoteAnalyst$60k–$65k/yrFull-time
About Our Client:The organization operates within the healthcare sector, providing a continuum of patient-focused services including Mobile Primary Care, Home Health, Palliative Care, Hospice, Outpatient Therapy, Durable Medical Equipment, and Medical Transport. It addresses the challenge of delivering comprehensive, compassionate care to diverse patient needs through an integrated service model. About the Opportunity:The CERTIFIED CODING AND BILLING SPECIALIST (PRIMARY CARE) role is responsible for managing insurance accounts receivable, resolving denials and rejections, and ensuring billing accuracy and coding compliance. This position directly impacts the financial operations by improving claim resolution and supporting audit processes, contributing to the organization's ability to provide continuous care. Responsibilities:Manage insurance A/R, denials, rejections, payments, and aging accounts through resolutionPerform Medicare Part B billingReview claims and provider documentation for billing accuracy, coding compliance, medical necessity, and payer requirementsAudit CPT, ICD-10-CM, HCPCS, modifiers, and E/M codingIdentify root causes of denials and documentation deficiencies and provide corrective feedbackCollaborate with coding, quality assurance, credentialing, and billing teams to resolve issuesSupport audits and appealsWork to reduce recurring billing and coding errors Requirements:Minimum 5 years of professional medical billing, coding, and auditing experienceStrong experience with insurance A/R and aging accountsProven ability to resolve claim denials and rejections through final resolutionExperience with payment posting ERAs/EOBs, adjustments, and reconciliationPreferred experience with Medicare Part B, Medicare Advantage, Medicaid, and commercial payersProficient in reviewing provider documentation for coding accuracy, medical necessity, and complianceStrong knowledge of CPT, ICD-10-CM, HCPCS, modifiers, and E/M codingExperience providing coding feedback and identifying documentation deficiencies and trendsPreferred experience in mobile medicine and specialty coding, particularly primary care, podiatry, dermatology, and behavioral healthCPC or comparable coding certification preferredElation Billing experience is a plusAbility to relate well to staff and professionalsService-oriented mindset with compassionate and caring attitudeEffective verbal and written communication and time management skillsValid driver's license with proof of current insurance and reliable transportationValid Arizona Fingerprint Clearance CardCurrent CPR Certification and proof of negative TB test (testing available) Pay Range and Compensation Package:Salary range of $60,000 to $65,000 Benefits & Perks:22 days of paid time offMedical, dental, and vision insurance options401(k) plan with employer matchingLife, accident, and disability insuranceReferral bonuses Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin. Note:RemoteHunter is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.

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