Billing & Claims Specialist: Insurance & Coding

Cape-Fear-Valley-Medical-Center-; Fayetteville (NC); On-site; USD 42,000 - 56,000; Full time

Job summary

Cape Fear Valley Health System seeks a skilled Medical Billing Coder for its CFV Gastroenterology location in Fayetteville, NC. The role focuses on accurate insurance processing, denial management, and coding accuracy within a busy clinical billing workflow.

Responsibilities include posting payments, reconciling accounts, and ensuring regulatory compliance while supporting efficient claims processing in a patient‑centered environment. 3+ years in physician office billing is preferred.

Qualifications

• High school diploma or equivalent required.
• Certified Coder in Medical or Professional Coding preferred.
• Experience in physician office insurance or billing is beneficial.

Responsibilities

• Ensure productive, accurate billing workflow for customer accounts.
• Monitor insurance denials and follow up on rejection reports.
• Assist in monitoring correct coding and charge entry processes.
• Coordinate and monitor all insurance processing activities.
• Troubleshoot software/hardware issues related to claims processing.
• Ensure compliance with Federal regulations for maximum reimbursement.
• Post insurance and patient payments and adjustments.
• Review next day schedule for insurance accuracy and patient balances.

Skills

Data entry

English proficiency

Medical terminology

ICD-CPT4 coding

Education

High school diploma or equivalent

Medical coding certification preferred

Job description

Cape Fear Valley Health System seeks a skilled Medical Billing Coder for its CFV Gastroenterology location in Fayetteville, NC. The role focuses on accurate insurance processing, denial management, and coding accuracy within a busy clinical billing workflow.

Responsibilities include posting payments, reconciling accounts, and ensuring regulatory compliance while supporting efficient claims processing in a patient‑centered environment. 3+ years in physician office billing is preferred.