Medical Billing and Coding Specialist

Requirements

• High School Diploma or GED
• Valid Certified Professional Coder Certification
• Minimum 3 years of medical billing and coding experience in healthcare, medical office billing, or insurance
• Federally Qualified Health Center (FQHC), Primary Care Association (PCA) or Tribal Health Organization experience preferred

Key Responsibilities

• Review coding and submit accurate claims based on patient medical records using CPT and ICD-10 coding
• Follow up on insurance claim denials and unprocessed claims
• Process and post payments, including Medicaid and Medicare
• Resolve outstanding receivables
• Answer inquiries from client staff and providers
• Ensure coding complies with all federal, legal, and insurance guidelines
• Communicate efficiently and effectively with team members and clients
• Embrace technology and automation to increase efficiency of systems and processes
• Collaborate with internal departments as needed

Qualifications

• Demonstrates attention to detail and commitment to excellent work product and client service
• Strong oral and written communication skills, demonstrating responsiveness to clients and colleagues
• Ability to demonstrate insight and professional judgment, with an aptitude for critical thinking
• Maintains a positive attitude and contributes to a positive work environment
• Takes initiative and is proactive
• Demonstrates intellectual curiosity and drive for continuous learning
• Proficient in Microsoft Office Suite and applicable software tools – electronic health record (EHR) systems
• Strong knowledge of medical terminology, CPT, and ICD-10 coding standards