Certified Medical Coder - Claims & Denials Expert

DaMar Staffing; Hamilton (OH); On-site; USD 52,000 - 64,000; Full time

Job summary

Primary Health Solutions is seeking a Billing and Coding Specialist to enter, audit, and code patient services for insurance submission. You will analyze coding issues, process gaps, and denials to provide feedback by location and specialty.

Responsibilities include translating provider documentation into codes (ICD-10-CM, ICD-10-PCS, CPT, HCPCS), using billing software, reviewing encounters, and communicating with providers and payers. Prior CPC is preferred; strong confidentiality is required.

Qualifications

• Knowledgeable with Medical Terminology.
• Multitask oriented, organized.
• Proficient with computers and medical billing software.
• Knowledge of ICD-10-CM, ICD-10-PCS, CPT and HCPCS.
• Strong communication with patients and healthcare companies.
• Basic accounting and bookkeeping practices.

Responsibilities

• Review provider documentation and code accurately; append modifiers when applicable.
• Code incomplete encounters using available documentation in EHR.
• Use billing software to create and bill encounters for clean claims.
• Review denials and trends; communicate with payers and providers.
• Assist with training staff on billing/coding updates.

Skills

Customer Service

Communication

Dependability

Quality

Productivity

Education

Certified Professional Coder (CPC)

Tools

Billing software

EHR systems

Microsoft Office 365

Job description

Primary Health Solutions is seeking a Billing and Coding Specialist to enter, audit, and code patient services for insurance submission. You will analyze coding issues, process gaps, and denials to provide feedback by location and specialty.

Responsibilities include translating provider documentation into codes (ICD-10-CM, ICD-10-PCS, CPT, HCPCS), using billing software, reviewing encounters, and communicating with providers and payers. Prior CPC is preferred; strong confidentiality is required.