Healthcare Coding and Billing Specialist

We are seeking a skilled and detail-oriented Coding & Billing Specialist to join our clinical documentation team. This part-time, hourly position involves defining key processes and program design elements to support comprehensive and accurate coding for clinical services rendered.

• Become a subject matter expert in our billing systems, including Electronic Health Record (EHR) and Clearinghouses.
• Appropriately codes services, procedures, diagnoses, and treatments. Verifies that the assignment of ICD, CPT, and HCPC codes are compatible, appropriate, and accurate for billing.
• Use medical terminology to understand clinical documentation and determine if it appropriately supports diagnoses. Reviews all individual visit encounters for completeness and accuracy in all services rendered.
• Educates Advance Practice Nurses (APNs), Nurse Practitioners (NPs), and other team members on proper code selection, documentation, procedures, and requirements.
• Prepares and submits claims for payment, and corrects rejected claims.
• Advises on ongoing process improvements related to coding and billing. Makes recommendations for changes in policies and procedures, e.g., revising the master CPT list. Develops and updates procedures manuals to maintain standards for correct coding, and to minimize the risk of fraud and abuse.

You will be a good fit if you:

• Have 4+ years experience as a medical billing and coding specialist leveraging an Electronic Health Record (EHR) system.
• Are able to gain proficiency in our EHR, Clearinghouse, and other billing software systems.
• Have a strong knowledge of ICD-10-CM and CPT coding guidelines; medical terminology; state and federal Medicare reimbursement guidelines; English grammar and usage.
• Are proficient in medical terminology: ability to read and interpret medical procedures and terminology.
• Have excellent written and verbal communication skills, especially to maintain working relationships with APNs, NPs, Clinical Documentation Integrity Specialist, and other team members.
• Have strong multi-tasking skills and consistent attention to detail.
• Support our mission, vision, and values: Demonstrates respect, dignity, empathy, and professional conduct to both individuals we serve and our team members.

The required experience you bring to this role includes:

• A high School diploma or equivalent.
• Medical coder certification, such as Certified Professional Coder (CPC) from AAPC or Certified Coding Specialist (CCS) from AHIMA.

$18 - $20 an hour.

Benefits

For full-time employees, our compensation package includes base, equity, and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture.

Employment with us is contingent upon attesting to medical clearance requirements, which include evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law.

New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by us. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption.

We are not able to offer sponsorship at this time.