We are seeking a skilled Medical Coding Specialist to manage the initial submission of insurance claims and self-pay posting in line with established procedures. The ideal candidate will also address coding-related denials and handle the resubmission of corrected claims. Responsibilities encompass a broad range of coding tasks, including CPT, ICD-10, and HCPC coding, electronic claims submission, and providing coding feedback to practice staff, physicians, and management.
This position is fully remote.
Key Responsibilities:
• Accurately code CPT, ICD-10, modifiers, and HCPC codes from physician/clinic documentation for both professional and facility billing.
• Work with A/R and Billing teams to resolve coding-related denials and rejections.
• Address and resolve denied claims promptly, following coding guidelines and policies.
• Provide feedback and updates to the Coding Manager on billing/coding, charge entry, and denial trends.
• Complete end-of-month reports to ensure timely and accurate coding of all services.
• Maintain coding certification and stay current with coding guidelines and federal regulations.
• Research and address coding-related questions from executive leadership.
• Assist with various special projects as needed.
Education and/or Experience:
• High School Diploma or equivalent; college preferred.
• 1-3 years’ work experience in a similar or related role, within a medical practice or office environment.
• Knowledgeable with E/M, laboratory, and surgical billing.
• Fertility experience preferred.
• CPC-A or CPC certification is preferred.
• Strong written and verbal communication skills are essential.
Why You'll Love Working Here – Our Amazing Benefits:
???? Comprehensive Health Coverage: Medical, dental, and vision plans for our full-time employees, along with complimentary basic life insurance, Employee Assistance Program, and long-term disability insurance. FREE or low-cost employee only healthcare coverage option is also available.
???????????????? Family Building Support: Take advantage of our comprehensive fertility benefits, adoption assistance, and surrogacy support to help grow your family.
???? Paid Parental Leave: Generous maternity, paternity, and partner leave so you can focus on what matters most.
???? Plenty of Paid Time Off: Start with 18 days of PTO annually and enjoy 11 paid holidays, including one floating holiday to use as you choose!
???? Retirement Ready: Invest in your future with our 401(k) plan, featuring a competitive company match and full vesting after just 2 years.
???? Lifestyle Spending Account: Access a company-funded account to reimburse expenses that boost your physical, financial, and emotional well-being.
???? Health Savings Account (HSA): If eligible, enjoy regular employer contributions to your HSA with every paycheck.
???? Rewards for Connections: Earn extra money with our Employee Referral Program—your network is invaluable!
???? Growth Opportunities: We support your career with continuing education reimbursement and dedicated time off for professional development.
???? Premium Calm Health Subscription: Enjoy a free premium Calm Health app subscription to support your mental wellness.
???? Emotional & Work-Life Support: Through our Employee Assistance Program (EAP) with SupportLinc, you'll have access to emotional well-being and work-life resources whenever you need them.
???? Extra Peace of Mind: Explore additional coverage options including Accident, Critical Illness, Hospital Indemnity, and Pet Insurance, to suit your needs.
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