MEDICAL BILLER AND CODER

Callen-Lorde Community Health Center•New York, NY

2d•Onsite

About The Position

Callen-Lorde Community Health Center is seeking a detail-oriented and experienced Medical Biller & Coder to join our Patient Accounts team. This vital role combines the dynamic functions of accounts receivable billing and collection with medical coding expertise, ensuring accurate revenue cycle management while supporting our mission to provide exceptional healthcare to LGBTQ+ communities.

Requirements

High school diploma required
Current CPC-A or CPC certification required
3+ years medical billing and coding experience required
3+ years experience using EPIC electronic health record
Thorough understanding and experience with ICD-10, CPT-4, and HCPCS coding systems, FQHC billing guidelines, and healthcare compliance regulations
Excellent written and verbal communication skills with ability to interact professionally with patients, staff, and insurance representatives
Must possess absolute commitment to confidentiality, professional integrity, and HIPAA compliance

Nice To Haves

Bachelor's degree preferred
Strong interpersonal and ability to resolve complex billing issues with patience and empathy
Ability to professionally and diplomatically interact with internal and external stakeholders.
Obtains cooperation from and works collaboratively with peers and management.
Embraces problems as opportunities to propose and develop solutions.
Demonstrate enthusiasm for learning and proactively expand knowledge and skills by independently researching new areas of expertise.
Highly self-motivated, taking initiative to identify needs and respond promptly and effectively.
Team player with collaborative and supportive approach to work
Commitment to continuous learning and professional development.
Commitment to community-based healthcare, understanding its vital role in promoting health equity and improving population health outcomes.
Commitment to the mission of Callen-Lorde.

Responsibilities

Manage the complete revenue cycle process while providing coding expertise to ensure compliance and accuracy.
Capture patient service charges in EPIC, prepare and submit electronic and paper claims, process payments from third-party payers and patients, and manage monthly patient statements to ensure optimal revenue collection.
Assign accurate ICD-10, CPT-4, and HCPCS codes with proper sequencing and modifiers, review and validate coding for denied claims, and serve as a coding resource for the billing department to ensure compliance with regulations.
Monitor open accounts receivable, identify and correct claim denials, conduct phone follow-up and online claim status verifications, and perform specialized billing functions such as Medicaid Public Transportation program billing.
Perform insurance verifications for new patients and coverage changes, answer billing and insurance questions from patients, staff, and insurance companies, and resolve patient billing complaints with professionalism and empathy.
Provide support to providers on proper coding and documentation practices, research compliance requirements for provider scope of practice and FQHC guidelines, and maintain strict adherence to HIPAA guidelines and confidentiality standards.
Utilize EPIC practice management system and Trizetto clearinghouse systems effectively, ensure maintenance and security of electronic and paper billing records, and participate in system updates and training as needed.

Benefits

Exceptional low cost medical plan option for you, your spouse/domestic partner and/or your family
Dental insurance
Vision insurance
No cost life insurance
Short- and long-term disability insurance
Flexible Spending Account
Tuition Assistance
Commuter benefits
Generous paid time off plan
403B retirement savings plan