Coding Specialist

Jobtailor; Town of Montana (WI); On-site; USD 42,000 - 65,000; Full time

Job summary

Jobtailor is seeking a Medical Billing & Coding Specialist to code encounters using ICD-10 and CPT guidelines and to prepare, submit, and monitor claims with various payers. You will work with providers and staff to resolve issues and ensure timely payments.

The role requires attention to detail, strong organizational skills, and clear communication. Occasional travel to Montana/Wyoming sites may be needed for technical issues or management purposes.

Qualifications

• High school diploma or GED required.
• Coding certification preferred.
• Experience in medical billing and coding or healthcare facility setting is preferred.
• Familiarity with ICD-10 and CPT guidelines is essential.
• Strong attention to detail and organizational skills are required.
• Ability to communicate clearly with providers and staff.

Responsibilities

• Code patient encounters using ICD-10 and CPT guidelines to ensure accuracy and compliance.
• Prepare and submit claims to Medicare, Medicaid, and other payers with required documentation.
• Review encounters and claims for errors or missing information.
• Collaborate with staff and providers to resolve coding and billing issues.
• Follow up on denied or outstanding claims to drive timely payment.
• Communicate with providers and participate in monthly meetings to address coding questions.
• Maintain billing system accuracy by managing claim statuses and payer-specific requirements.

Skills

ICD-10 Coding

CPT Coding

Medical Billing

Claims Submission

Attention to Detail

Organization

Problem-Solving

Clear Communication

Education

High school diploma or GED

Coding Certification

Tools

Billing System Management

Job description

• Code patient encounters using ICD-10 and CPT guidelines to ensure accuracy, compliance, and complete reimbursement
• Prepare and submit claims to Medicare, Medicaid, commercial insurers, and other third-party payers, including required documentation
• Review encounters and claims for errors or missing information
• Collaborate with staff and providers to resolve coding and billing issues
• Follow up on rejected, denied, or outstanding claims to drive timely resolution and payment
• Communicate regularly with providers and participate in monthly meetings to address coding and billing questions
• Maintain billing system accuracy by managing claim statuses, secondary claims, and payer-specific requirements

Requirements

• High school diploma or GED required
• Coding certification preferred
• Preferred experience with medical billing and coding or working in a healthcare facility
• Strong attention to detail, organization, and problem-solving skills
• Ability to communicate clearly with providers, staff, and external partners
• Must be located within driving distance of one of One Health’s Montana or Wyoming locations
• Travel to a site for technical issues or management purposes may be required
• Familiarity with ICD-10 and CPT guidelines
• Ability to prepare and submit claims to Medicare, Medicaid, commercial insurers, and other third-party payers

Core Competencies

Demonstrates expertise in coding patient encounters using ICD-10 and CPT guidelines, ensuring compliance and accuracy in claims submission to various payers. Strong organizational and problem-solving skills are essential for managing billing processes and resolving issues effectively.

Highest-signal resume keywords

• ICD-10 Coding
• CPT Coding
• Medical Billing
• Claims Submission
• Attention to Detail

ATS Optimization Keywords

Hard Skills

• ICD-10 Coding
• CPT Coding
• Claims Submission
• Medical Billing
• Error Review

Soft Skills

• Attention to Detail
• Organization
• Problem-Solving
• Clear Communication

Certifications & Qualifications

• Coding Certification

Industry Keywords

• Medicare
• Medicaid
• Third-Party Payers
• Healthcare Facility

Tools & Technologies

• Billing System Management