Medical Billing/Coding Specialist - Pridestaff : Job Details

Ready for your next opportunity? PrideStaff is looking for a detail-oriented and experienced Medical Billing and Coding Specialist to join a thriving healthcare team in Fairfax! Do you need a fresh start in your career? Give us a call at 571-###-#### or apply directly to this posting for immediate consideration!

Job Responsibilities:

• Accurately translating medical diagnoses, procedures, and services into universal medical codes (ICD-10-CM, CPT, HCPCS).
• Creating, submitting, and tracking insurance claims to various payers in a timely manner.
• Diligently following up on unpaid, rejected, or denied claims, and investigating and appealing discrepancies.
• Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
• Serving as a knowledgeable point of contact for patient billing inquiries, explaining benefits, and setting up payment plans when necessary.
• Ensuring all billing and coding practices are in full compliance with HIPAA, state, and federal regulations.
• Posting payments from insurance companies and patients, and reconciling accounts.
• Generating financial reports related to billing, collections, and accounts receivable.

Qualifications and Skills:

• Minimum of 2+ years of hands-on experience in medical billing and coding.
• Certification is highly preferred. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Professional Biller (CPB) are a major plus.
• Proficiency in using Electronic Health Records (EHR) and medical billing software (e.g., Epic, Cerner, eClinicalWorks, etc.).
• Strong knowledge of medical terminology, anatomy, and physiology.
• In-depth understanding of ICD-10, CPT, and HCPCS coding systems and guidelines.
• Excellent attention to detail and a high degree of accuracy is essential.
• Strong organizational and time-management skills, with the ability to prioritize and manage multiple tasks effectively.
• Solid communication and interpersonal skills for interacting with patients and insurance carriers.

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

PrideStaff is dedicated to helping you succeed! Our team of consultants provides valuable employment market insights and resources to support you on your career journey. We have assisted tens of thousands of individuals in finding exceptional career growth opportunities over the years. At PrideStaff, we prioritize building relationships and advocating for you with our network of employers nationwide. Our recruiters are committed to guiding you with career tools and resources. PrideStaff is an Equal Opportunity Employer.