Billing Coding Specialist- Remote
Posted 2025-08-15
Remote, USA
Full Time
Immediate Start
About the position
The Billing Coding Specialist is primarily responsible for the coding and billing of claims, as well as resolving denied claims. This role involves ensuring compliance with coding and billing guidelines, managing accounts receivable, and collaborating with various departments to support the revenue cycle.
Responsibilities
• Code claims according to coding and billing guidelines.
,
• Bill claims in accordance with payor guidelines.
,
• Investigate payer-rejected claims to determine reason for denial and work to obtain resolution.
,
• Prioritize and work HOLD an MGR HOLD buckets.
,
• Verify patient insurance coverage and eligibility.
,
• Update patient records with accurate insurance information.
,
• Manage accounts receivable and follow up on overdue payments.
,
• Collaborate with other departments, such as medical coding and front office, to ensure accurate and timely processes.
,
• Support the revenue cycle by ensuring claims are dropped within 2 days of the current date.
,
• Assist in general administrative tasks as needed.
,
• Review all claims returned for Medical Necessity and correct if able; report findings to Team Lead.
,
• Follow established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety and environmental standards.
,
• Attend coding conferences, workshops, and in-house sessions to receive updated coding information and changes in coding and/or regulations.
,
• Perform other duties as required.
Requirements
• Solid understanding of billing software and electronic medical records.
,
• Prefer experience with Athena system.
,
• Understanding of relevant laws and best practices as it relates to Medicare and Medicaid billing.
,
• Understanding of HIPAA regulations and medical terminology.
,
• High school diploma required.
,
• Experience with Excel required.
,
• 1 or more years' experience as an outpatient coder.
,
• Minimum of 3 years' experience with claims billing.
Nice-to-haves
• Demonstrated interest in working with an underserved population.
Benefits
• 401(k)
,
• 401(k) matching
,
• Dental insurance
,
• Employee assistance program
,
• Health insurance
,
• Paid time off
,
• Tuition reimbursement
,
• Vision insurance Apply tot his job
The Billing Coding Specialist is primarily responsible for the coding and billing of claims, as well as resolving denied claims. This role involves ensuring compliance with coding and billing guidelines, managing accounts receivable, and collaborating with various departments to support the revenue cycle.
Responsibilities
• Code claims according to coding and billing guidelines.
,
• Bill claims in accordance with payor guidelines.
,
• Investigate payer-rejected claims to determine reason for denial and work to obtain resolution.
,
• Prioritize and work HOLD an MGR HOLD buckets.
,
• Verify patient insurance coverage and eligibility.
,
• Update patient records with accurate insurance information.
,
• Manage accounts receivable and follow up on overdue payments.
,
• Collaborate with other departments, such as medical coding and front office, to ensure accurate and timely processes.
,
• Support the revenue cycle by ensuring claims are dropped within 2 days of the current date.
,
• Assist in general administrative tasks as needed.
,
• Review all claims returned for Medical Necessity and correct if able; report findings to Team Lead.
,
• Follow established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety and environmental standards.
,
• Attend coding conferences, workshops, and in-house sessions to receive updated coding information and changes in coding and/or regulations.
,
• Perform other duties as required.
Requirements
• Solid understanding of billing software and electronic medical records.
,
• Prefer experience with Athena system.
,
• Understanding of relevant laws and best practices as it relates to Medicare and Medicaid billing.
,
• Understanding of HIPAA regulations and medical terminology.
,
• High school diploma required.
,
• Experience with Excel required.
,
• 1 or more years' experience as an outpatient coder.
,
• Minimum of 3 years' experience with claims billing.
Nice-to-haves
• Demonstrated interest in working with an underserved population.
Benefits
• 401(k)
,
• 401(k) matching
,
• Dental insurance
,
• Employee assistance program
,
• Health insurance
,
• Paid time off
,
• Tuition reimbursement
,
• Vision insurance Apply tot his job