Sleep Medicine Billing & Coding Specialist

Vituity

Dublin (OH)

On-site

USD 29,000 - 36,000

Full time

5 days ago
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Benefits offered by this job

Health plan options
Dental and Vision
HSA/FSA
401(k) with match

Job summary

Vituity in Dublin, OH seeks a Billing and Coding Specialist to review clinical documentation and assign ICD-10-CM, CPT/HCPCS codes for sleep medicine services, including polysomnography, HST, MSLT, and MWT. You will handle front-end and back-end billing, verify insurance, obtain authorizations, and pursue denials or underpayments.

The role requires knowledge of coding standards, revenue cycle practices, and HIPAA confidentiality, with at least 2 years of related experience.

Qualifications

  • 2+ years of medical billing and/or medical coding experience.
  • Experience coding and billing for sleep medicine or pulmonary services preferred.
  • Proficient in ICD-10-CM, CPT, and HCPCS Level II.
  • Excellent attention to detail and accuracy.

Responsibilities

  • Review and analyze medical records to ensure accurate coding and billing.
  • Assign ICD-10-CM, CPT, and HCPCS codes for sleep medicine services.
  • Query providers when documentation does not support code assignments.
  • Apply CMS NCCI edits and LCD/NCD policies for compliant coding.
  • Maintain knowledge of annual code-set updates and guidelines.
  • Verify insurance coverage and obtain necessary authorizations.

Skills

Medical terminology
ICD-10-CM CPT HCPCS
Sleep medicine billing
Communication
HIPAA compliance

Education

Associate's degree in health information technology
CPC or CBCS certification preferred

Tools

Practice management software
Billing/coding software

Job description

Vituity in Dublin, OH seeks a Billing and Coding Specialist to review clinical documentation and assign ICD-10-CM, CPT/HCPCS codes for sleep medicine services, including polysomnography, HST, MSLT, and MWT. You will handle front-end and back-end billing, verify insurance, obtain authorizations, and pursue denials or underpayments.

The role requires knowledge of coding standards, revenue cycle practices, and HIPAA confidentiality, with at least 2 years of related experience.

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