Coding Specialist

MPOWERHealth; Conshohocken (Montgomery County); On-site; USD 52,000 - 72,000; Full time

Job summary

MPOWERHealth is seeking a detail-oriented Medical Billing/Coding Specialist to review, code, and submit CMS-1500 claims. You will verify accuracy, coordinate with other departments for documentation, and resolve claim issues.

The role requires CPC certification, strong Excel skills, and the ability to work both independently and collaboratively in an on-site setting.

Qualifications

• Certificate or diploma in medical billing/coding is required.
• Professional coding certification is required.
• Knowledge of ICD-10 and CPT coding.
• Strong attention to detail and accuracy.
• Ability to multitask and prioritize work.
• Strong analytical and comprehension skills.
• Excellent verbal and written communication.
• Intermediate proficiency in Microsoft Excel.
• Work independently while maintaining timely communication with management.
• Positive attitude and ability to work collaboratively.
• Ability to consistently meet deadlines.

Responsibilities

• Review, manage and submit 75-100 CMS-1500 professional claims each day.
• Assign accurate procedure and diagnosis codes.
• Verify claim accuracy before submission.
• Review medical records to determine appropriate ICD-10 and CPT codes.
• Coordinate with other departments to obtain missing documentation.
• Resolve claim rejections and make claim corrections.

Education

Certificate or diploma in medical billing/coding

Professional coding certification

ICD-10 and CPT coding knowledge

Attention to detail

Multitask and prioritize

Strong communication

Excel proficiency

Independent while communicating with management

Tools

Microsoft Excel

Job description

"MUST HAVE CPC CERTIFICATE" Position is not remote

This role is well suited for someone with a medical billing/coding background who is comfortable reviewing documentation, coding accurately, submitting high volumes of professional claims, and resolving billing issues while working both independently and collaboratively.

Primary Responsibilities

• Review, manage and submit 75-100 CMS-1500 professional claims each day.


• Assign accurate procedure and diagnosis codes.


• Verify claim accuracy before submission.


• Review medical records to determine appropriate ICD-10 and CPT codes.


• Coordinate with other departments to obtain missing documentation.


• Resolve claim rejections and make claim corrections.


• Collaborate with revenue cycle teams to understand payer-specific billing guidelines and state insurance requirements.

Key Qualifications

• Certificate or diploma from an accredited medical billing/coding program.


• Professional coding certification (required).


• Knowledge of ICD-10 and CPT coding.


• Strong attention to detail and accuracy.


• Ability to multitask and prioritize work.


• Strong analytical and comprehension skills.


• Excellent verbal and written communication.


• Intermediate proficiency in Microsoft Excel.


• Work independently while maintaining timely communication with management.


• Positive attitude and ability to work collaboratively.


• Ability to consistently meet deadlines.

Preferred Experience

• Medical billing and coding experience with CMS-1500 professional claims.


• Knowledge of insurance policies and reimbursement processes.


• Experience with out-of-network medical billing.