Medical Coding And Billing Specialist
RemoteUnited States
United StatesRemoteContractSmall
ContractSmall
Job Summary
Conduct precise coding of telemedicine visits using CPT, ICD-10-CM, and HCPCS Level II codes while ensuring accurate documentation review for payer compliance. Manage insurance claims processing, including submission, tracking, and resolution of denials, while maintaining accurate patient billing records and verifying eligibility. Provide expert guidance to the team on coding updates and telemedicine-specific billing practices, and identify areas for process improvement within the revenue cycle. Stay current on changes in coding standards and payer requirements, ensuring full HIPAA compliance.
Required Qualifications
- Valid CPC, CCS, or equivalent certification in medical coding and billing
- Minimum of 5+ years of professional experience in medical coding and billing for the US healthcare market
- Experience in telemedicine
- Advanced understanding of Telehealth coding, modifiers, and insurance payer-specific requirements
- Experience in claim denial management and resolution
- Proven track record of success in claim denial management
- Proficiency in working with EHR systems and billing software
- In-depth knowledge of US healthcare regulations
- HIPAA compliance knowledge
- Strong organizational skills
- Analytical skills
- Problem-solving skills
- Excellent written communication skills
- Excellent verbal communication skills
Desired Qualifications
- Experience working with a variety of US insurance providers, including Medicare, Medicaid, and private payers
- Comprehensive understanding of revenue cycle management processes
- Demonstrated ability to work independently
- Ability to handle complex billing cases
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