Medical Billing and Coding Specialist

22nd Century Technologies Inc.; Houston (TX); On-site; USD 50,000 - 70,000; Full time

Job summary

A leading company in government administration seeks a Medical Billing Coding Specialist for a contract role to analyze billing processes and resolve issues related to claims. This position requires a high school diploma and an active billing and coding certificate, along with extensive experience in the field. The ideal candidate will possess strong analytical skills and commitment to accuracy in billing practices.

Qualifications

• 5 years of billing experience and coding denial resolution required.
• Preferred 3 years’ experience billing and coding using an Electronic Medical Records system.
• Valid TX driver's license.

Responsibilities

• Analyze billing procedures and modifiers to resolve billing issues, rejections, and denials.
• Work with Medicaid and insurance carriers to resolve claims errors.
• Run, review, and summarize billing reports for reimbursement and accounts receivable.

Skills

Billing Analysis

Coding Denial Resolution

Interpersonal Communication

Education

High school diploma

Billing and Coding Certificate (CPC, CCS, CMC, etc.)

Job description

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Please check the job details as following:

Title: Medical Billing Coding Specialist

Job Id: 25-45923

Client: Harris County

Location: Houston, TX 77002

Job Type: Contract 2+ Months

General Summary:

The Medical Billing Coding Specialist is responsible for billing and analyzing procedures and modifiers to troubleshoot and resolve billing issues, rejections, denials, and appeals. The Specialist will work as part of a cross-functional team to ensure all services provided by HCPH are billed in a timely and accurate manner and responsible for remaining up to date on billing guidelines.

Duties & Responsibilities:

• Analyze billing procedures and modifiers to resolve billing issues, rejections, denials, and appeals.
• Work with Medicaid and all other governmental and commercial insurance carriers to resolve claim errors.
• Review billing charges and other data for accuracy and potential reimbursement enhancement.
• Obtain from applicable providers, clinic, and support staff complete diagnosis information to ensure proper assignment of codes.
• Respond to questions from staff, insurance carriers, and clients.
• Run, review, and summarize reports for billing, reimbursement, and accounts receivable.
• Work collaboratively with clinical and health information systems staff regarding billing/coding revisions in the electronic billing system.
• Work as part of a cross-functional team to ensure all services provided are coded and billed in a timely and accurate manner.
• Provide feedback on operational improvements to enhance the efficiency of charge capture to reduce denials and optimize overall reimbursement.
• Work with CHWD to ensure credentials for providers are up to date or added as new providers are hired.
• Add clinic locations to TMHP system as needed.

High school diploma -An active Billing and Coding Certificate (CPC, CCS, CMC, etc.) -5 years of billing experience and coding denial resolution -Preferred 3 years’ experience billing and coding using an Electronic Medical Records system -Valid TX driver's license

This job operates in a professional office environment.

This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Physical Requirements:

This is a largely sedentary role; however, some duties would require the ability to lift up to 20 pounds and bending & standing for periods at a time.

Equipment/Access Needed:

Laptop, Phone, Access to EPIC, HART and HPCC division case management systems and SharePoint.

Seniority level

• Seniority level

  Associate

Employment type

• Employment type

  Contract

Job function

• Job function

  Other

• Industries

  Government Administration and Government Relations Services

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