Sr. Billing and Coding Specialist
Sr. Billing and Coding Specialist
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Job Description
Culture and Values:
At Pandya Medical Center we believe in going above and beyond for every patient. Our team members are dedicated professionals who truly care about making a difference. We listen understand and treasure each personal story shared by our patients. Our commitment extends beyond our clinic walls with active involvement in community health fairs and volunteering initiatives. We are a highly reputed medical practice in North Atlanta offering strong growth opportunities and robust benefits for our employees. Be a part of our dynamic team and take your career to the next level with Pandya Medical Center.
Job Summary
The Sr. Medical Billing & Coding Specialist assures accurate and complete coding information is collected and reported to private insurance and Medicare to help complete the revenue cycle. The specialist will scrub encounters for accurate coding prior to claim creation assure correct modifiers and ICD10 diagnosis codes are allocated to each CPT code ensure timely claim submissions and followup on claim denials. The candidate should have knowledge of insurance regulations and medical coding with the goal of maximizing accurate thirdparty billing and minimizing denials. The position is full time with competitive salary and strong benefits including PTO health insurance and 401k match. The ideal candidate will be located in Georgia and able to be present at our administrative office in the Johns Creek area. If you are an experienced and motivated Medical Billing & Coding Specialist who wants to grow with a thriving medical practice we encourage you to apply today and join our dedicated team.
Duties and Responsibilities
Accurate and timely submission of medical claims to insurance companies and other payers
Review and analyze medical records to ensure appropriate coding of diagnoses and procedures
Document for providers and management any insufficient or unclear information on claims
Assign or reassign CPT HCPCS and ICD10CM codes as needed
Follow up on unpaid claims and initiate appeals for denied claims within 30 days of submission.
Track the progress of claims through the clearinghouse and promptly address any issues
Resolve patient billing issues and questions via phone and email in a timely fashion
Stay updated on healthcare regulations medical terminology and coding practices
Follow HIPAA guidelines when accessing and sharing patient information
Additional job related duties or projects as needed
Qualifications and Skills
Minimum of 10 years experience with medical billing or revenue cycle in a medical setting
Certified Professional Coder thru AAPC or a Certified Coding Specialist thru AHIMA Required
Knowledge of insurance guidelines including HMO/PPO Medicare and other payers requirements and systems
Knowledge of CPT ICD10 HCPCS Coding and utilization of modifiers
Knowledge of medical billing rules modifiers and strong understanding of EOBs and ERAs
Competent in computer skills Microsoft Office or similar software
Experience with AthenaHealth EHR is preferred or other similar EHR systems such as Epic or eClinicalWorks
Experience with Family Practice and Primary Care outpatient billing (Preferred)
Exceptional Customer Service skills for interacting with patients regarding medical claims and payments
Selfmotivated with ability to multitask prioritize work in a fastpaced team environment
Problemsolving skills to research and resolve discrepancies denials appeals collections
Strong understanding of patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA)
Benefit Eligibility
Health insurance
Dental and Vision plans
Supplemental insurance plans
401K match plan with up to 4% by Pandya Medical Center
Paid Time Off
Required Experience:
Senior IC
Employment Type
Full-Time
