Detail-Oriented Medical Billing & Coding Specialist

DaMar Staffing; Cambridge (MA); Remote; USD 55,000 - 75,000; Full time

Benefits offered by this job

Remote work option

Job summary

DaMar Staffing is seeking a detail-oriented Medical Billing Specialist with strong background in medical billing, coding, and insurance processes. You will process claims, code with ICD-10/CPT/HCPCS, generate cost estimates, review data in EHR/EMR systems, and resolve denials while communicating with patients and payers.

This role offers flexibility to work from home depending on experience. Join a team focused on accurate reimbursement, HIPAA compliance, and collaboration with clinical staff in

Qualifications

• High school diploma or equivalent required.
• Associate degree in Healthcare Administration, Billing & Coding, or related field preferred.
• Certified Professional Coder (CPC) or CCS certification strongly preferred.

Responsibilities

• Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations.
• Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses.
• Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements.
• Review and verify accuracy of billing data within EHR/EMR systems prior to claim submission.
• Utilize EHR/EMR platforms (such as Epic, Meditech, PrognoCis) for documentation, coding, and billing workflows.
• Research and resolve billing discrepancies or claim denials.
• Prepare and submit insurance appeals, ensuring compliance with payer guidelines.
• Communicate with patients regarding billing questions, payment responsibilities, and insurance coverage.
• Maintain up-to-date knowledge of medical terminology, payer requirements, and compliance regulations (HIPAA, CMS, etc.).
• Collaborate with clinical staff and providers to ensure accurate coding and documentation within electronic systems.
• Track accounts receivable and follow up on outstanding claims to maximize revenue.

Skills

Medical terminology

ICD-10 coding

CPT coding

HCPCS coding

Cost estimation

Insurance appeals

EHR/EMR systems

Attention to detail

Communication skills

Claims processing

Education

Associate degree in Healthcare Administration/Billing & Coding

High school diploma or equivalent

Tools

Epic

Meditech

PrognoCis

Job description

DaMar Staffing is seeking a detail-oriented Medical Billing Specialist with strong background in medical billing, coding, and insurance processes. You will process claims, code with ICD-10/CPT/HCPCS, generate cost estimates, review data in EHR/EMR systems, and resolve denials while communicating with patients and payers.

This role offers flexibility to work from home depending on experience. Join a team focused on accurate reimbursement, HIPAA compliance, and collaboration with clinical staff in