
Medical Billing Specialist
2 days ago
We are seeking a skilled Medical Billing Specialist to join our team. In this role, you will be responsible for ensuring accurate coding and billing for diagnostic imaging studies while maintaining compliance with US healthcare regulations.
This is an exciting opportunity to work in the rapidly growing field of revenue cycle management and to be part of a team that is dedicated to delivering high-quality patient care.
">About the Role:
- Code Review & Validation: Review and reconcile CPT, ICD-10, and HCPCS codes for radiology studies to ensure accuracy rates of 99%+.
- Documentation Analysis: Analyze radiology reports to ensure proper coding compliance with CMS guidelines and payer-specific requirements.
- Quality Assurance: Conduct regular audits of coded studies to maintain high-quality standards and identify areas for improvement.
- Regulatory Compliance: Ensure adherence to HIPAA, CMS regulations, and facility-specific billing protocols.
Required Skills & Qualifications:
- Education: Bachelor's degree in Accounting, Finance, Business Administration, Healthcare Administration, or related field.
- Certification: CPC Certification from AAPC (American Academy of Professional Coders).
- Experience: Minimum 3 years of hands-on experience in US medical billing and coding.
- Skills: Advanced proficiency in Microsoft Excel (VLOOKUP, pivot tables, macros, advanced formulas) and billing software experience (Kareo, AdvancedMD, eClinicalWorks, Epic, Cerner, or similar systems).
Benefits:
- Competitive Compensation: Performance-based increases and annual salary reviews.
- Comprehensive Benefits Package: Health insurance, paid time off, flexible work arrangements, professional development, and career advancement opportunities.
Growth Opportunities:
- Career Progression Path: Senior Medical Billing Specialist, RCM Team Lead, RCM Supervisor/Manager, Director of Revenue Cycle Operations.
- Skill Development: Advanced coding certifications, healthcare analytics, leadership development programs, and cross-functional exposure to clinical operations and IT systems.
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