Hybrid Billing & Coding Specialist — Revenue Cycle Pro

Edgewood Healthcare; Grand Forks (ND); Hybrid; USD 45,000 - 65,000; Full time

Benefits offered by this job

Health benefits

401(k) plan

Paid time off

Hybrid work model

Job summary

Edgewood Healthcare is seeking a detail-oriented Billing & Coding Specialist to join our growing team. This role supports accurate revenue cycle processes and timely reimbursement for healthcare and therapy services.

You will handle claim submission, coding review, payment posting, denial follow-up, and insurance communications, collaborating with clinical and front office staff to ensure clean claims and strong financial performance.

Qualifications

• Experience in medical billing and/or coding.
• Knowledge of CPT & ICD-10 and therapy billing.
• Outpatient therapy, home health, hospice experience preferred.
• Strong attention to detail and organizational skills.
• Ability to manage multiple priorities and meet deadlines.
• Excellent communication and teamwork.

Responsibilities

• Review documentation for billing accuracy and completeness.
• Submit insurance claims in a timely manner.
• Post payments and reconcile accounts.
• Investigate and resolve denied or rejected claims.
• Communicate with insurance regarding authorizations, eligibility, and claim status.
• Work patient accounts including balances, adjustments, and follow-up.
• Ensure compliance with payer requirements and coding guidelines.
• Support productivity and revenue cycle reporting needs.
• Collaborate with clinic teams to improve billing workflows.

Skills

Medical billing

Medical coding

CPT & ICD-10 knowledge

Attention to detail

Communication

Teamwork

Job description

Edgewood Healthcare is seeking a detail-oriented Billing & Coding Specialist to join our growing team. This role supports accurate revenue cycle processes and timely reimbursement for healthcare and therapy services.

You will handle claim submission, coding review, payment posting, denial follow-up, and insurance communications, collaborating with clinical and front office staff to ensure clean claims and strong financial performance.