Medical Billing Specialist

DaMar Staffing; Boca Raton (FL); On-site; USD 48,000 - 62,000; Full time

Job summary

DaMar Staffing in Boca Raton, FL is seeking a detail-oriented Medical Billing Specialist to support a healthcare organization. The role emphasizes coding accuracy, billing compliance, and reimbursement optimization within a regulated clinical environment.

The ideal candidate brings strong experience in E/M coding, documentation audits, and provider education, along with a current coding certification from a recognized credentialing body.

Qualifications

• Must have current coding certification from a recognized credentialing body.
• Experience with E/M coding and documentation audits.
• Familiarity with payer guidelines and denial management.
• Ability to educate providers and staff on coding rules.
• Attention to detail and strong compliance focus.

Responsibilities

• Conduct secondary reviews of billing activity to confirm coding accuracy and compliance.
• Examine clinical documentation to identify coding discrepancies and summarize findings.
• Partner with physicians and care teams to clarify documentation for accurate submissions.
• Escalate recurring documentation or coding concerns with corrective recommendations.
• Collaborate with billing staff to resolve account issues and support denials follow-up.
• Evaluate payer reimbursement patterns and denial trends for process improvements.
• Investigate payer guidelines and respond to questions from stakeholders.
• Deliver education and guidance to providers on documentation standards and rules.
• Stay updated on payer policy changes affecting specialty billing and coding.
• Protect patient confidentiality while completing billing and audit duties.

Skills

E/M coding

Documentation audits

Provider education

Regulatory compliance

Revenue cycle

Education

Coding certification

Job description

Medical Billing SpecialistWe are looking for a detail-oriented Medical Billing Specialist to support a healthcare organization in Boca Raton, Florida. This contract position focuses on coding accuracy, billing compliance, and reimbursement optimization within a regulated clinical environment. The ideal candidate brings strong experience in E/M coding, documentation audits, and provider education, along with a current coding certification from a recognized credentialing body.

Responsibilities:

• Conduct secondary reviews of billing activity to confirm coding accuracy, regulatory compliance, and appropriate reimbursement outcomes.
• Examine clinical documentation to identify coding discrepancies, including both missed charges and overreported services, and summarize findings in clear audit reports.
• Partner with physicians and other care team members to clarify incomplete or conflicting documentation and support accurate claim submission.
• Escalate recurring documentation or coding concerns to revenue cycle leadership or practice management with recommendations for corrective action.
• Work closely with billing and revenue cycle staff to resolve account issues, support claim corrections, and improve accounts receivable follow-up efforts.
• Evaluate payer reimbursement patterns, fee schedule variances, and denial trends to identify opportunities for process improvement.
• Investigate questions related to payer guidelines, coding compliance, denials, and billable services, and provide informed responses to stakeholders.
• Deliver education, coaching, and ongoing guidance to providers and staff on documentation standards, coding rules, and third-party payer requirements.
• Maintain current knowledge of payer policy updates and communicate relevant changes affecting specialty billing and coding practices.
• Protect the confidentiality of patient records and financial information while completing assigned billing and audit duties.