Medical Billing & Coding Specialist — Public Health Claims

AAPC; Raleigh (NC); On-site; USD 54,000 - 70,000; Full time

Job summary

Wake County Health and Human Services in Raleigh, NC seeks a Medical Biller & Coder to ensure accurate coding and billing for public health and clinic services. You will interact daily with clinic administration to bill and collect payments, maintaining data elements in the practice management system.

The role handles CPT, ICD9/10, HCPCS, and modifiers across multiple payer types, processes denials and adjustments, and responds to questions from patients and insurers.

Qualifications

• Accurate coding and billing across CPT, ICD9/10, HCPCS, and modifiers.
• Process claims for multiple payer types (Commercial, Medicare, Medicaid, etc.).
• Review accounts for Medicare/Medicaid and rebill denied claims.
• Research adjustments to client accounts.
• Handle billing inquiries from patients, staff, and insurers.
• Follow federal and state provider billing guidelines.
• Post payments and prepare daily deposits.

Responsibilities

• Performs accurate and timely coding and billing (CPT, ICD9, ICD10, HCPCS, modifiers)
• Process claims for multiple payer types and elevates issues to the Coding Supervisor
• Review outstanding accounts for Medicare, Medicaid and insurances and rebill denied claims
• Researches and complete necessary adjustments to client accounts
• Handles billing inquiries by phone, mail and/or in person from patients and insurers
• Follow federal and state and provider billing guidelines
• Receive payments remitted and log in payments received
• Post payments and adjustments to accounts
• Prepare daily deposits

Skills

CPT/ICD coding

HCPCS/modifiers

Billing & follow-up

Denials management

Job description

Wake County Health and Human Services in Raleigh, NC seeks a Medical Biller & Coder to ensure accurate coding and billing for public health and clinic services. You will interact daily with clinic administration to bill and collect payments, maintaining data elements in the practice management system.

The role handles CPT, ICD9/10, HCPCS, and modifiers across multiple payer types, processes denials and adjustments, and responds to questions from patients and insurers.