Medical Coder and Biller

DaMar Staffing; Town of Florida (NY); On-site; USD 23,000 - 32,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Health insurance

Paid time off

Vision insurance

Job summary

The ideal candidate will review documentation for appropriate E/M levels, manage denials and AR, post payments, and assist with patient inquiries while ensuring HIPAA compliance and timely filings.

Qualifications

• 2 years medical billing and/or coding experience required
• Primary care experience strongly preferred
• CPC, CCS, or equivalent certification preferred
• Experience with Greenway Intergy (preferred)
• Strong knowledge of E/M coding guidelines
• Understanding of Medicare and commercial payer policies
• Excellent attention to detail and analytical skills
• Ability to manage high claim volume efficiently

Responsibilities

• Review provider documentation for accurate CPT, HCPCS, and ICD-10 coding
• Submit clean electronic claims daily and scrub for errors
• Manage AR aging, denials, and follow-up to meet goals
• Post insurance and patient payments; reconcile deposits
• Answer billing inquiries and support eligibility checks
• Maintain HIPAA compliance and monitor payer updates

Skills

Medical billing

Medical coding

Attention to detail

Analytical skills

Education

High school diploma

Tools

Greenway Intergy

Job description

Billing & Coding Specialist Full-Time Monday-Friday Competitive Pay Based on Experience

Position Summary

Magnolia Medical Clinic, P.A. is seeking a detail-oriented and experienced Billing & Coding Specialist to support our growing multi-provider primary care practice. This position is responsible for accurate coding, claim submission, payment posting, denial management, and accounts receivable follow-up to ensure timely and compliant revenue cycle performance. The ideal candidate is proactive, analytical, and comfortable working in a fast-paced, high-volume environment.

Key Responsibilities

Coding & Charge Review

• Review and validate provider documentation for accurate CPT, HCPCS, and ICD-10 coding
• Ensure appropriate E/M level selection based on documentation guidelines
• Verify modifiers and medical necessity requirements
• Provide feedback to providers on documentation deficiencies when needed
• Monitor payer-specific coding requirements and updates

Claims Management

• Submit clean electronic claims daily through clearinghouse
• Scrub claims for errors prior to submission
• Track claim acceptance and resolve rejections promptly
• Ensure timely filing requirements are met

Accounts Receivable & Follow-Up

• Work insurance AR aging reports (30/60/90 days)
• Investigate and resolve denials and underpayments
• File corrected claims and appeals with proper documentation
• Maintain target AR days and collection goals
• Identify payer trends and report issues to Billing Office Manager

Payment Posting

• Accurately post insurance payments, adjustments, and patient payments
• Reconcile deposits and ensure balancing accuracy
• Review EOBs/ERAs for underpayment patterns

Patient Account Support

• Assist front desk and patients with billing inquiries as needed
• Review patient balances for accuracy
• Support eligibility and benefits verification processes

Compliance & Reporting

• Maintain HIPAA compliance at all times
• Stay current with Medicare, Medicaid, and commercial payer updates
• Assist with monthly revenue reporting metrics
• Support audit requests and documentation reviews

Performance Expectations (KPIs)

Clean claim rate >= 95% AR days within practice goal (example:= 99%)

Qualifications

• 2 years medical billing and/or coding experience required
• Primary care experience strongly preferred
• CPC, CCS, or equivalent certification preferred
• Experience with Greenway Intergy (preferred)
• Strong knowledge of E/M coding guidelines
• Understanding of Medicare and commercial payer policies
• Excellent attention to detail and analytical skills
• Ability to manage high claim volume efficiently

Education

High school diploma required

Work Environment

Fast-paced outpatient medical clinic High daily patient volume Team-oriented but independent role

Job Type: Full-time

Pay: From $20.00 per hour

Benefits

401(k) Dental insurance Health insurance Paid time off Vision insurance

Experience

Medical billing: 2 years (Required)

Work Location

In person.