Medical Billing and Coding Specialist

Positive Impact Health Centers is seeking a Medical Billing and Coding Specialist to join their team. The ideal candidate will have knowledge of insurance regulations and medical coding, with the goal of maximizing accurate third-party billing.

Requirements

• Accurately and timely submit medical claims to insurance companies and other payers
• Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations
• Review and analyze medical records to ensure appropriate coding of diagnoses and procedures
• Follow up with providers on any documentation that is insufficient or unclear
• Assigns or reassigns CPT, HCPCS, and ICD-10-CM codes as needed
• Good understanding of E/M Guidelines
• Following up on unpaid claims and initiating appeals for denied ones within standard billing cycle timeframes
• Tracking the progress of claims through the clearinghouse and promptly address any issues
• Provides timely and professional customer service, resolve patient billing issues, answer questions from patients, facility staff, and third-party vendors
• Review insurance and patient aging reports
• Staying updated on healthcare regulations, medical terminology, and coding practices
• Follows HIPAA guidelines when accessing and sharing patient information
• Tracking, reviewing, and reporting on billing metrics, trends, and periodic audits to ensure compliance and accuracy.
• Maintain compliance with all regulatory and accrediting institutions
• Perform general office duties such as typing, filing, photocopying and report generation, answer telephone and emails, inventory, and ordering supplies. Abide by all state, district, and agency policies regarding confidentiality of patient information.

Benefits

• 1 Health Wellness day per quarter
• Parental Leave
• Free parking at our locations/bus line accessibility
• Competitive Salary & Benefits
• Automatic 3% Safe Harbor & 2% Profit Sharing (Retirement Program)
• 100% allotted for benefit elections for employees, 50% allotted for benefit elections for employees' spouse/dependents
• Credit Union