Advocare LLC-posted about 2 hours ago
Full-time • Mid Level
Jersey City, NJ

We are seeking a detail-oriented and experienced Billing and Coding Specialist to join our healthcare team. This role is vital in ensuring accurate and timely processing of medical claims, supporting our commitment to efficient patient care and revenue cycle management. If you have a strong understanding of medical billing and coding procedures, we invite you to become a key part of our organization’s success.

  • Review and accurately code medical diagnoses, procedures, and services using ICD-10, CPT, and HCPCS coding systems.
  • Prepare and submit insurance claims in a timely manner, ensuring compliance with payer requirements.
  • Verify patient insurance coverage and obtain necessary authorizations.
  • Follow up on unpaid or denied claims to facilitate prompt resolution.
  • Maintain detailed and organized records of billing and coding activities.
  • Stay updated on changes in coding regulations and insurance policies.
  • Collaborate with healthcare providers and administrative staff to resolve billing issues.
  • Ensure compliance with all relevant healthcare laws and regulations.
  • Proven experience in medical billing and coding, preferably in a healthcare setting.
  • Certification such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) is preferred.
  • Strong knowledge of ICD-10, CPT, HCPCS coding systems, and medical terminology.
  • Familiarity with electronic health records (EHR) and billing software.
  • Excellent attention to detail and organizational skills.
  • Ability to work independently and as part of a team.
  • Strong communication skills and problem-solving abilities.
  • Knowledge of healthcare regulations and compliance standards.
  • Multiple medical and prescription coverage options
  • Dental and vision care plans
  • Health Savings Accounts (HSAs), where applicable
  • Flexible Spending Accounts (FSAs)
  • Voluntary critical illness, cancer, and accident insurance
  • Voluntary hospital indemnity coverage
  • Voluntary short-term and long-term disability insurance
  • Voluntary term life insurance and AD&D (Accidental Death & Dismemberment)
  • 401(k) retirement savings plan
  • Paid time off (PTO)
  • Commuter benefits
  • Group Auto and Homeowners Insurance Discounts
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