Medical Billing and Coding Specialist

Responsibilities

• Perform billing activities in a timely manner, including surgical billing, physician billing, and coding.
• Assist with chart audits to identify areas for improvement and resolve issues as needed.
• Ensure claims are coded and processed accurately and promptly.
• Work primary holds daily for all billing-related follow-up and communicate with practice staff and physicians to address any necessary improvements.
• Act as a liaison between practices and other Saint Peter’s Healthcare System departments, as well as with physician billing vendors.
• Aid the Billing/Coding Coordinator with related projects and issues as they arise.
• Interpret financial responsibilities for patients, providing them with clear and concise information about healthcare coverage before or at the time of service.
• Counsel patients when notified of the need and provide educational support to physicians/surgeons regarding diagnosis and procedure codes (ICD-10 and CPT).
• Assist in the education and training of office staff on various billing and coding functions, such as charge entry, managing hold buckets, and performing precertifications.
• Ensure timely payments through follow-up on denials and open accounts receivable, collaborating with facility and physician billing representatives.
• Resolve problems related to registration, charge entry, coding, and payment reconciliation.
• Conduct billing-related project research to recommend improvements in efficiency, productivity, and cost-effectiveness.
• Maintain an orderly and efficient work area, adhering to safety, emergency, infection control, and performance improvement guidelines.

  Requirements

  • Minimum of two (2) years of experience in an office setting, specifically in billing and coding, and accounts receivable.
  • Ability to use sound judgment, act independently, and manage workloads effectively.
  • Outstanding interpersonal skills to interact with a diverse group of callers, physicians, patients, visitors, and other healthcare professionals.
  • Efficiency in a fast-paced environment, problem-solving, and prioritizing workload.
  • Knowledgeable in medical coding and documentation guidelines.
  • Keyboarding skills and proficiency in MS Office programs, as well as the ability to learn in-house billing and coding programs.
  • CPC certification required or obtained within the first year of employment.

  Pay

  Salary Range: $24.33 - $38.93 USD
  Saint Peter’s offers competitive base rates determined by factors such as job-related work experience, internal equity, and industry-specific market data. Additionally, some positions may be eligible for clinical certification pay and shift differentials. The salary range listed for exempt positions reflects full-time compensation and will be prorated based on employment status.

  Benefits

  We offer a robust benefits program that supports you and your family in achieving and maintaining secure, healthy lives. Benefits include medical, dental, and vision insurance; savings accounts, voluntary benefits, wellness programs, and discounts; paid life insurance; generous 401(k) match; adoption assistance; back-up daycare; free onsite parking; and recognition rewards. You can enhance your career by participating in either a fully paid tuition program or our generous tuition assistance program. For more information about our benefits, visit our site at Saint Peter’s.