Physician Coding Specialist I

Jobtailor; Shaker Heights (OH); On-site; USD 38,000 - 54,000; Full time

Job summary

Jobtailor in Ohio is seeking a Medical Billing Specialist with ICD-9 and CPT coding knowledge to support a multi-specialty practice. You will monitor unresolved accounts, initiate follow-up, communicate with payors, and help resolve billing discrepancies while safeguarding patient information.

The ideal candidate holds CPC, CCS, RHIT, or RHIA credentials, has 1+ year of medical billing experience, excellent verbal and written communication, and meticulous attention to detail.

Qualifications

• Experience with ICD-9 and CPT coding and claims processing.
• Ability to resolve billing discrepancies with attention to detail.
• Experience with third-party insurance processes.

Responsibilities

• Monitor and analyze unresolved third-party accounts for multi-specialty group practices
• Initiate telephone and written follow‑up on identified insurance accounts
• Communicate with payors and internal departments to obtain information affecting current and future claims
• Research and respond to customer service telephone inquiries
• Review and correct coding edits and denials
• Code ICD-10 from written documentation when needed
• Meet department productivity and quality standards
• Maintain patient/physician confidentiality and professional communication with patients and physicians
• Provide information and feedback to personnel within UHPS
• Identify insurance-related trends and report findings to the Team Lead
• Interpret written correspondence and resolve or route problems for prompt resolution
• Communicate through telephone, form letters, and internal correspondence to resolve patient inquiries
• Handle multiple tasks simultaneously and resolve billing discrepancies using knowledge of insurance products and billing requirements
• Perform other related duties as assigned

Skills

Interpersonal skills

Computer literacy

ICD-9 Coding

CPT Coding

Coding Edits Review

Data Analysis

Problem Solving

Attention to Detail

Team Collaboration

Verbal Communication

Written Communication

PHI Confidentiality

Education

High School Diploma or GED

Tools

Basic Software Packages

Job description

• Monitor and analyze unresolved third-party accounts for multi-specialty group practices
• Initiate telephone and written follow‑up on identified insurance accounts
• Communicate with payors and internal departments to obtain information affecting current and future claims
• Research and respond to customer service telephone inquiries
• Review and correct coding edits and denials
• Code ICD-10 from written documentation when needed
• Meet department productivity and quality standards
• Maintain patient/physician confidentiality and professional communication with patients and physicians
• Provide information and feedback to personnel within UHPS
• Recommend additional research to other CBO departments
• Identify insurance-related trends and report findings to the Team Lead
• Interpret written correspondence and resolve or route problems for prompt resolution
• Communicate through telephone, form letters, and internal correspondence to resolve patient inquiries
• Handle multiple tasks simultaneously and resolve billing discrepancies using knowledge of insurance products and billing requirements
• Perform other related duties as assigned

Requirements

• High School Equivalent / GED (Required)
• 1+ years medical billing experience in a multi-specialty practice (Preferred)
• Excellent interpersonal skills to work in partnership with others to influence and gain cooperation (Required proficiency)
• Computer literate, experience with basic software packages (Required proficiency)
• Must possess basic knowledge of ICD-9 and CPT coding (Required proficiency)
• Ability to recognize, evaluate, and solve problems (Required proficiency)
• Strong verbal and written communication skills (Required proficiency)
• Extensive knowledge of the claims development process, as well as third party insurance program (Required proficiency)
• Ability to handle a variety of tasks with speed, attention to detail, and accuracy
• Certified Professional Coder (CPC), CPC-A, CPC-H, or CPC-P (Required), or Certified Coding Specialist (CCS), RCC, ROCC (Required), or Registered Health Information Technologist (RHIT) (Required), or Registered Health Information Administration (RHIA) (Required)
• Must maintain patient/physician confidentiality and securely handle Protected Health Information (PHI)
• Ability to work with 10% travel requirements

Core Competencies

Demonstrates expertise in medical billing processes, including ICD-9 and CPT coding, while maintaining patient confidentiality and effectively communicating with payors and internal departments. Proven ability to analyze accounts, resolve discrepancies, and meet productivity standards in a multi-specialty practice environment.

Highest-signal resume keywords

• Medical Billing Experience
• ICD-9 Coding
• CPT Coding
• Certified Professional Coder (CPC)
• Claims Development Process

ATS Optimization Keywords

Hard Skills

• ICD-9 Coding
• CPT Coding
• Claims Development Process
• Billing Discrepancy Resolution
• Insurance Knowledge
• Coding Edits Review
• Data Analysis
• Problem Solving
• Attention to Detail
• Productivity Standards

Soft Skills

• Interpersonal Skills
• Verbal Communication
• Written Communication
• Team Collaboration
• Customer Service

Certifications & Qualifications

• Certified Professional Coder (CPC)
• Certified Coding Specialist (CCS)
• Registered Health Information Technologist (RHIT)
• Registered Health Information Administration (RHIA)

Industry Keywords

• Multi-Specialty Practice
• Third-Party Insurance
• Protected Health Information (PHI)
• Patient Confidentiality
• Claims Processing

Tools & Technologies

• Basic Software Packages