Medical Billing And Coding Specialist

Summary

Join Trajectory/MedHQ RCM services, a leading revenue cycle management company, as a Medical Billing and Coding Specialist! This remote position offers significant growth opportunities and exceptional benefits. You will play a crucial role in ensuring accurate and timely billing and coding practices. Responsibilities include ICD-10 coding, claim submission and follow-up, payment posting, and resolving registration issues. The ideal candidate possesses 3+ years of experience, a CPC certification, and strong analytical and communication skills. We offer a comprehensive benefits package including health insurance, retirement plan, paid time off, and more.

Requirements

• Proven experience in medical billing and coding, with a strong understanding of ICD-10 coding guidelines and procedures
• Proficiency in electronic health record (EHR) systems, billing software, and claim submission platforms
• Excellent understanding of insurance billing processes, including claim submission, follow-up, and appeals
• Strong analytical and problem-solving skills, with the ability to identify and resolve billing and coding issues effectively
• Detail-oriented with a high level of accuracy in data entry and documentation
• Effective communication skills, both written and verbal, with the ability to interact professionally with patients, insurance payers, and internal stakeholders
• Certified Professional Coder (CPC) credential or equivalent certification required

Responsibilities

• Accurately assign ICD-10 diagnosis codes to patient encounters based on medical documentation and coding guidelines
• Prepare and submit electronic and paper claims to insurance payers in a timely manner, ensuring compliance with payer requirements and regulations
• Monitor claim status, identify and resolve claim rejections, denials, and pending issues to expedite payment processing
• Post payments, adjustments, and denials accurately into the billing system, reconciling payments with billed amounts and contractual agreements
• Address and resolve registration-related issues such as insurance verification, demographic updates, and eligibility discrepancies to ensure accurate billing and claims processing
• Analyze denied claims, identify reasons for denials, and prepare and submit appeals to insurance payers for reconsideration
• Conduct regular reconciliation of accounts receivable, identifying discrepancies and taking necessary actions to resolve outstanding balances
• Maintain knowledge of current billing regulations, coding guidelines, and payer policies to ensure compliance with industry standards and regulations

Benefits

• Employer sponsored Major Medical
• Employer sponsored Dental
• Employer sponsored Vision
• Accidental Death and Disability insurance
• Short term disability
• 4.5% 401K matching
• Flexible spending account
• Generous paid time off
• True opportunity for advancement
• This job is a remote position