Medical Billing & Coding Specialist

Pinnacle Wound Management-posted 22 days ago

Full-time • Entry Level

Onsite • Gainesville, GA

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The Medical Billing and Coding Specialist will be responsible for reviewing clinical documentation, assigning appropriate diagnostic and procedural codes, and submitting claims to insurance companies. This role plays a vital part in our revenue cycle and overall patient experience.

Review and accurately code medical procedures, diagnoses, and treatments using ICD-10, CPT, and HCPCS codes
Prepare and submit clean claims to insurance companies both electronically and by paper
Follow up on unpaid or rejected claims and resolve billing issues
Ensure compliance with HIPAA and other federal regulations
Collaborate with clinical staff to clarify documentation and improve coding accuracy
Maintain up-to-date knowledge of billing regulations and payer guidelines

Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent required
2+ years of medical billing and coding experience (specialty experience a plus)
Strong knowledge of insurance guidelines, including Medicare and Medicaid
Proficiency with electronic medical records (EMR) and billing software
Excellent attention to detail and organizational skills
Ability to handle confidential information with discretion

Opportunity to be part of a mission-driven team making a direct impact on patient care.
Supportive and collaborative work environment.
Competitive salary and benefits package.

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