Medical Coding and Billing Specialist
About The Position
We are looking for a certified coder and biller for our Highland clinic. This is an in-person position for coding, billing, claims, payer follow-up, refunds, and billing queues. The job includes coding visits and entering charges using CPT, ICD-10, and HCPCS guidelines. Claims should be submitted within 48 hours of encounter completion when eligible. This person will also work Athena queues, including missing slips, primary holds, manager holds, messages, tasks, unpostables, correspondence, denials, zero-pay claims, unpaid claims, collections items, and related follow-up. Other work may include: insurance refunds, patient refunds, duplicate payments, overpayments, Medi-Cal overpayment cases, credentialing support, payer enrollment, contract submissions, and payer deadline tracking. This position also helps keep billing spreadsheets updated for Medi-Cal revenue, institutional payments, fee-for-service payments, refunds, and reporting. If you have experience with these fields, you will be additionally valuable. The person in this role may also answer billing questions from patients and staff, and assist with billing and chart audits.
Requirements
- CPC or equivalent coding certification
- Experience with medical coding, billing, charge entry, claims submission, and payer follow-up
- Good documentation habits and steady follow-through
- Comfort working with spreadsheets and billing details
Nice To Haves
- Athena experience is preferred. Similar EHR or practice management experience will also be considered.
- Experience with institutional billing, denials, unpostables, refunds, overpayments, enrollment, or credentialing is helpful.
Responsibilities
- Coding visits and entering charges using CPT, ICD-10, and HCPCS guidelines.
- Submitting claims within 48 hours of encounter completion when eligible.
- Working Athena queues, including missing slips, primary holds, manager holds, messages, tasks, unpostables, correspondence, denials, zero-pay claims, unpaid claims, collections items, and related follow-up.
- Processing insurance refunds, patient refunds, duplicate payments, and overpayments.
- Handling Medi-Cal overpayment cases.
- Providing credentialing support.
- Managing payer enrollment.
- Submitting contracts.
- Tracking payer deadlines.
- Updating billing spreadsheets for Medi-Cal revenue, institutional payments, fee-for-service payments, refunds, and reporting.
- Answering billing questions from patients and staff.
- Assisting with billing and chart audits.
Benefits
- Platinum health benefits for the entire family, with premiums completely covered.
- Dental, vision, and life insurance
- 401(k) with 6% employer match
- Actually great PTO, and paid holidays
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
