Coding Specialist (Medical Coder)

DaMar Staffing; Conshohocken (Montgomery County); On-site; USD 42,000 - 68,000; Full time

Job summary

DaMar Staffing is seeking a Medical Billing/Coding Specialist to review, code, and submit CMS-1500 professional claims. The role emphasizes accuracy, timely submissions, and cross-department collaboration to resolve denials and ensure compliance with payer guidelines.

The ideal candidate has a medical billing/coding certificate or diploma and professional coding certification, with strong Excel skills and the ability to work independently while communicating effectively with management.

Qualifications

• Certificate or diploma in medical billing/coding.
• Professional coding certification required.
• Knowledge of ICD-10 and CPT coding.
• Strong attention to detail and accuracy.

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.

Skills

Medical billing

Medical coding

ICD-10-CM coding

CPT coding

Revenue cycle management

Insurance verification

Claim denial resolution

Time management

Attention to detail

Communication

Teamwork

Education

Medical billing diploma

Tools

Microsoft Excel

Job description

Medical Billing/Coding Specialist

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

Skills That Would Make a Strong Candidate

• Medical billing and coding
• ICD-10-CM and CPT coding
• Revenue cycle management
• Insurance verification and payer policies
• Claim denial and rejection resolution
• Medical records review
• Microsoft Excel
• Time management
• Attention to detail
• Communication and teamwork