Medical Coding Specialist

Medfast Urgent Care Centers • Melbourne, FL

396d • $41,600 - $47,840

About The Position

The Medical Coding Specialist is responsible for accurately coding and processing patient information for billing purposes at an urgent care facility. This role requires collaboration with healthcare providers to ensure proper billing practices, adherence to coding standards, and maximization of reimbursement while minimizing claim denials. The specialist must maintain up-to-date knowledge of coding regulations and urgent care-specific billing practices.

Requirements

• High school diploma or equivalent; Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) preferred.
• Minimum of 3 years in medical billing and coding, preferably in an urgent care or outpatient setting.
• Strong knowledge of medical billing software and electronic health records (EHR) systems.
• Familiarity with urgent care coding standards, insurance claim procedures, and payer policies.
• Excellent attention to detail, analytical skills, and the ability to work independently.
• Effective communication skills, with a collaborative and proactive approach to problem-solving.

Responsibilities

• Apply the correct CPT, HCPCS, ICD-10, and other relevant codes to all procedures, diagnoses, and treatments performed in the urgent care.
• Process insurance claims with attention to detail, ensuring that all necessary documentation is included for each claim submission.
• Work with insurance companies to resolve disputes, rejections, and claim denials.
• Ensure that all coding and billing is compliant with local, state, and federal regulations.
• Maintain strict confidentiality of patient information, adhering to HIPAA regulations.
• Review and verify patient accounts to ensure completeness and accuracy, preparing and maintaining records as needed.
• Work closely with medical staff and providers to clarify diagnoses and treatments as necessary for accurate coding.
• Prepare and submit reports on billing activity, coding accuracy, and reimbursement trends.
• Analyze rejected claims, identifying areas for improvement in coding or documentation practices.

Benefits

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

What This Job Offers

• Job Type: Full-time
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED