Billing & Coding Specialist
New
United StatesFull-TimeMiddle
Salary37,440 - 56,160 USD per year
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Job Details
- Experience
- 13 years
- Required Skills
- EHRHIPAA
Requirements
- Proficiency in medical coding (ICD-10, CPT, HCPCS).
- Knowledge of Medicaid/Medicare rules and billing processes.
- Experience with EHR/EMR systems and billing software.
- Strong organizational and recordkeeping skills.
- Analytical problem-solving for denial management.
- Attention to detail and ability to meet deadlines.
- Certified Professional Coder (CPC, CCA, or equivalent) preferred.
- 1-3 years experience in medical billing & coding.
- Experience with nonprofit or behavioral health billing a plus.
- Familiarity with Medicaid waiver programs and housing support services.
Responsibilities
- Accurately assign ICD-10, CPT, and HCPCS codes for therapy, medical, housing-related, and case management services.
- Submit claims to Medicaid, Medicare, and private insurance providers.
- Track claims, post payments, and resolve denials or rejections.
- Maintain compliance with HIPAA, CMS, and payer-specific requirements.
- Work with case managers and therapists to ensure proper documentation for billing.
- Generate billing reports for leadership and finance teams.
- Assist with audits and maintain accurate billing records.
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