We are seeking a detail-oriented Medical Billing & Coding Specialist to support healthcare revenue cycle operations. This role is responsible for reviewing patient records, assigning accurate medical codes, submitting claims, following up on reimbursements, and helping ensure compliance with payer and regulatory requirements. The ideal candidate has strong knowledge of medical terminology, coding systems, billing processes, and electronic health record platforms.
Hours: M-F, 8:30am – 5pm, and one “late” 9:30-6 (30 min lunches)
Key Responsibilities
- Review clinical documentation and assign appropriate ICD, CPT, and HCPCS codes
- Prepare and submit accurate insurance claims in a timely manner
- Verify patient insurance coverage, eligibility, and authorization details
- Monitor claim status, identify denials, and resolve billing discrepancies
- Post payments, adjustments, and patient charges accurately
- Follow up on unpaid or underpaid claims with insurance carriers
- Maintain compliance with HIPAA, payer guidelines, and healthcare billing regulations
- Communicate with providers, patients, and insurance representatives regarding billing questions
- Support accounts receivable efforts and aging follow-up
- Maintain accurate billing records within practice management and EHR systems
- High school diploma or equivalent required; associate degree preferred
- 2+ years of medical billing and/or coding experience preferred
- Knowledge of ICD-10, CPT, and HCPCS coding required
- Experience with revenue cycle management, claims processing, and payment posting
- Familiarity with EHR and practice management systems, such as Epic, is preferred (Source: Q1 2026_The Demand for Skilled Talent.pdfxxxxxxxx)
- Strong understanding of medical terminology, insurance guidelines, and compliance standards
- Excellent attention to detail, organizational skills, and problem-solving abilities
- Strong written and verbal communication skills
- Relevant certification such as CPC, CCS, or CBCS is a plus
