Medical Billing Specialist- Certified Coder

Civic Minds

Job Location:

Los Angeles, CA - USA

Monthly Salary: Not Disclosed

Posted on: 11 days ago

Vacancies: 1 Vacancy

Job Summary

Position: Medical Billing Specialist- Certified Coder
Location: Los Angeles CA

Overview:
We are seeking a detail-oriented and experienced Medical Billing Specialist / Certified Medical Coder to join our team. The ideal candidate will have hands-on experience in medical coding and billing with strong knowledge of CPT ICD-10 and HCPCS coding guidelines. This role requires an individual who can work independently maintain high accuracy standards and ensure compliance with all applicable healthcare regulations and payer requirements.

Key Responsibilities:
Medical Coding & Billing

Review and accurately assign CPT ICD-10 and HCPCS codes for medical procedures services and diagnoses.
Ensure coding accuracy and compliance with federal state and payer-specific regulations.
Submit insurance claims accurately and in a timely manner.
Apply appropriate coding guidelines reimbursement policies and medical necessity requirements.
Review investigate and resolve claim edits rejections denials and payment discrepancies.
Correct and rebill claims as necessary to maximize reimbursement.
Verify that provider documentation supports billed services and coding selections.
Collaborate with providers and clinical staff to clarify diagnoses procedures and documentation requirements.
Maintain accurate and compliant records within the billing system.

Revenue Cycle Management

Monitor accounts receivable and follow up on outstanding claims.
Track claim status and ensure timely resolution of unpaid balances.
Support revenue cycle processes to improve reimbursement and reduce denials.
Stay current on coding updates payer policies and regulatory changes affecting billing and reimbursement.

Qualifications:
Required Certification

Certified Professional Coder (CPC) through AAPC or
Equivalent certification such as CCS or CCA.
Candidates with an expired certification and a minimum of three years of relevant coding experience may be considered.

Experience:

2 4 years of medical coding and billing experience required.
Strong experience with CPT ICD-10 and HCPCS coding.
Experience working with insurance claims denials management claim corrections and payer follow-up.
Knowledge of payer reimbursement methodologies and billing regulations.

Technical Skills:

Experience with Electronic Health Record (EHR/EMR) systems.
Familiarity with medical billing software and revenue cycle management processes.
Proficiency in Microsoft Office applications particularly Excel.

Skills & Competencies:

Strong attention to detail and accuracy.
Excellent analytical and problem-solving skills.
Ability to work independently with minimal supervision.
Strong organizational and time-management abilities.
Effective written and verbal communication skills.
Ability to meet productivity and performance targets.
Commitment to HIPAA compliance and patient confidentiality.
Ability to collaborate effectively with cross-functional teams while managing individual workload.

Position: Medical Billing Specialist- Certified Coder Location: Los Angeles CA Overview: We are seeking a detail-oriented and experienced Medical Billing Specialist / Certified Medical Coder to join our team. The ideal candidate will have hands-on experience in medical coding and billing with st...