Medical Billing & Coding Specialist | Claims & Audits

Betances Health Center; New York (NY); On-site; USD 45,000 - 65,000; Full time

Job summary

Betances Health Center seeks a detail-oriented medical billing and coding professional to review patient accounts, verify documentation, and optimize reimbursement for outpatient visits. You will ensure codes reflect services rendered and support accurate billing across Medicaid, Medicare, and other payers.

The role involves educating staff on coding rules, posting payments, and assisting with special projects to improve overall revenue cycle performance. On-site position based in New York.

Qualifications

• H.S. graduate or equivalent; B.A. preferred.
• 2+ years of medical coding and administrative experience; must be detail oriented.
• Familiarity with ICD-10-CM codes and procedures.
• Knowledge of eClinical Works preferred.
• Working knowledge of medical terminology preferred.
• Strong knowledge of database programs and MS Office including Word, Excel, and Access a plus.

Responsibilities

• Perform billing/coding/collections duties, including review and verification of patient account information against insurance program specifications.
• Evaluate medical record documentation and coding to optimize reimbursement.
• Interpret medical information to accurately assign ICD-10-CM and CPT codes.
• Review Medicaid and Medicare reimbursement claims for completeness and accuracy before submission.
• Assist in posting Medicare, GHI, and other payments as needed.
• Provide technical guidance to staff in identifying and resolving documentation or coding issues.
• Educate staff on proper code selection, documentation, and requirements.
• Contact patients regarding account balances and payment plans.
• Handle special projects as assigned by supervisor or CFO.

Skills

Medical coding

Attention to detail

Documentation

ICD-10-CM knowledge

MS Office

Medical terminology

Certified coder

Data management

Education

High school diploma or equivalent

Bachelor’s degree preferred

Tools

eClinical Works

MS Office

Job description

Betances Health Center seeks a detail-oriented medical billing and coding professional to review patient accounts, verify documentation, and optimize reimbursement for outpatient visits. You will ensure codes reflect services rendered and support accurate billing across Medicaid, Medicare, and other payers.

The role involves educating staff on coding rules, posting payments, and assisting with special projects to improve overall revenue cycle performance. On-site position based in New York.