Job Description

Job Description

Job Description

Description:

Job Title : Medical Billing/Coding Specialist

Type: Full Time (eligible for Benefits Package), Hourly/Non-Exempt

Work Location: Raleigh, NC Office

Job Overview: We are seeking a certified, detail-oriented and experienced Medical Billing and Coding Specialist to join our healthcare team. The successful candidate will be responsible for accurately translating medical procedures and diagnoses into standardized codes for billing and insurance purposes. This role requires a strong understanding of medical terminology, coding systems, and compliance with relevant regulations.

Responsibilities:

• Review and accurately assign medical codes to diagnoses, procedures, and services using ICD-10, CPT, and HCPCS systems.
• Submit clean claims to insurance companies electronically or via paper when necessary.
• Collaborate with healthcare providers to obtain necessary documentation for coding.
• Verify patient information and ensure accuracy in coding processes.
• Resolve billing discrepancies and collaborate with clinical staff for documentation clarification.
• Follow up on unpaid or denied claims; resubmit or appeal as appropriate.
• Maintain patient confidentiality and comply with all relevant healthcare privacy laws
• Communicate effectively with patients, providers, and insurance representatives.
• Stay current with coding updates, payer guidelines, and industry regulations.
• Assist with special projects and additional tasks on an as needed basis
  

Qualifications:

• Required Certification in medical billing and coding (e.g., CPC, CCS, CCA, or equivalent).
• High school diploma or equivalent required; associate degree in healthcare administration or related field preferred.
• 2+ years of experience in medical billing and coding in a healthcare setting.
• Proficient in using electronic health records (EHR) and billing software.
• In-depth knowledge of medical terminology, coding systems, and insurance claim processes.
• Familiarity with Medicare, Medicaid, and commercial payer requirements preferred.
• Strong attention to detail and analytical skills.
• Excellent communication and organizational skills.
• Ability to work independently and collaboratively in a team environment.

Working Conditions:

• Office-based environment with regular business hours (Monday through Friday, 8am to 5pm).
• May require occasional overtime during peak periods.

If you meet the qualifications and are passionate about accurate medical coding, we invite you to apply for this rewarding position in our healthcare team.

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