Medical Billing & Coding Specialist — E&M & Payer Expert

Surgery Partners; Nashville (TN); Remote; USD 42,000 - 66,000; Full time

Benefits offered by this job

Health, dental, vision insurance

HSA with employer contribution

Life insurance

PTO

401(k) with company match

Job summary

Surgery Partners in Nashville is seeking a Billing and Coding Supervisor to oversee claims processing and reimbursement workflows in our busy office.

You will resolve disputed claims, ensure compliance with payer rules, and stay current on Medicaid/Medicare billing. A solid knowledge of E&M coding and payer guidelines is essential for success.

This position requires a high school diploma and at least two years of medical billing experience; billing certification is preferred.

Qualifications

• High school diploma required.
• We require a minimum of two years experience with medical office billing.
• Billing certification preferred.

Responsibilities

• Resolves disputed claims by gathering, verifying, providing additional information, and following-up on claims.
• Resolves discrepancies by examining and evaluating data and selecting corrective steps.
• Maintains work operations by following policies and procedures and reporting compliance issues.
• Maintains quality results by following standards set forth by the company.
• Updates job knowledge by participating in educational opportunities, reading professional publications, keeping current on Medicaid/Medicare billing, and reimbursement procedures.
• Other assigned duties as assigned.

Skills

Physician E&M billing

Medical coding knowledge

Certified coder

Clinic policies

3rd party payers

Medicare/Medicaid billing

HCPC CPT ICD-9 coding

Data entry

Medical terminology

Collection practices

Regulatory provisions

Windows-based software

Education

High school diploma

Billing Certification preferred

Job description

Surgery Partners in Nashville is seeking a Billing and Coding Supervisor to oversee claims processing and reimbursement workflows in our busy office.

You will resolve disputed claims, ensure compliance with payer rules, and stay current on Medicaid/Medicare billing. A solid knowledge of E&M coding and payer guidelines is essential for success.

This position requires a high school diploma and at least two years of medical billing experience; billing certification is preferred.