Medical Coding and Billing Specailist Full Time 40 hours
On-siteBristol, Connecticut, United States
Job Summary
Review provider progress notes and procedure documentation to accurately abstract professional services and assign CPT, HCPCS, and ICD-10-CM codes. Validate charge integrity, reconcile encounters, and analyze coding-related denials to identify trends and reduce preventable rejections. Collaborate with providers and billing teams to clarify documentation, implement system edits, and optimize reimbursement while maintaining compliance. Utilize Meditech and eClinicalWorks to manage work queues and support clean claim performance. Requires current coding certification and experience with denial analysis and medical terminology.
Required Qualifications
- High school diploma or equivalent
- At least 2-4 years of experience in professional coding, medical billing, charge review, denial analysis, or closely related healthcare revenue cycle work
- Strong understanding of CPT/HCPCS codes, ICD-10-CM diagnosis coding, modifiers, and medical terminology
- Experience reviewing provider documentation and abstracting services from progress notes and other clinical documentation
- Experience reviewing and resolving coding denials, including MUE, NCCI/NCCO, modifier, medical necessity, diagnosis mismatch, and documentation-related denials
- Experience with Professional Billing
- Experience with Meditech and eClinicalWorks
- Basic understanding of insurance terminology and payer guidelines
- Coding certification (CPC, CCS, CIC, COC, CBCS, CMC)
Desired Qualifications
- Experience with Meditech and eClinicalWorks strongly preferred
- Experience with Professional Billing preferred
- Experience reviewing and resolving coding denials, including MUE, NCCI/NCCO, modifier, medical necessity, diagnosis mismatch, and documentation-related denials preferred
- At least 2-4 years of experience in professional coding, medical billing, charge review, denial analysis, or closely related healthcare revenue cycle work preferred
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