Medical Billing and Coding Associate

Title: Medical Billing and Coding Associate Pay Range: $20-$24 per hour, based on experience Employment Type: Full-Time, Hourly Location: 16-70 Weirfield St, Ridgewood, NY (In-Person) Benefits: Medical, Dental, and Vision (company contribution), Paid Time Off (PTO), Weekly pay, 401(k) Position Overview We are seeking a skilled and detail-oriented Medical Billing and Coding Associate with a primary focus on coding. The ideal candidate will possess expertise in ICD-10, CPT, and HCPCS coding systems and will play a vital role in ensuring accurate coding and billing practices. Responsibilities Partner with Operations to resolve unbilled claims, authorizations, Physician Certification Statements (PCSs), Patient Care Reports (PCRs), insurance, and demographic capture issues. Escalate concerns regarding questionable paperwork to appropriate management. Contact payers to verify claim status via phone or web and follow up on unpaid claims. Process appeals on aged insurance claims/denials. Analyze, identify, and resolve issues that may cause payer payment delays. Identify and resolve claim edits through understanding of billing guidelines and payer requirements. Reconcile commercial and government accounts, ensuring CPT and diagnostic codes are accurate. Interpret terms for Managed Care, Commercial, Medicare, Medicaid, Workers' Compensation, and No Fault as applicable. Review all EOBs for correct payment, deductible, adjustments, and denials. Determine status of claims with the insurance company against contractual agreements or needed adjustments. Reconcile account balances and verify payments are applied correctly. Maintain well‑aged accounts, promptly resolve, and resubmit denied/unpaid claims efficiently. Follow up on appeals/corrected submitted claims. Review and correct billing errors requiring strong knowledge of CPT and ICD-10 coding. Review and audit customer service account inquiries. Receive inbound/outbound customer service calls and provide excellent service to all patients, insurances, and facilities. Review and correct all rejections in clearing house. Perform all other related duties as assigned. Qualifications Must have 2-3 years of medical billing experience (required). Ambulance billing experience (preferred). Extensive Medicare and Medicaid experience and understanding medical necessity in ambulance transportation. Proficient in CPT and ICD-10 coding. Ambulance/Medical billing certification or diploma preferred. Certified Ambulance Coder (CAC) or Certified Professional Coder (CPC) preferred. Excellent organizational skills and ability to multitask in a fast‑paced environment. Analytical – collects and researches data; uses intuition and experience to complement data. EEO/AAP Statement DocGo is an equal opportunity employer. We acknowledge and honor the fundamental value and dignity of all individuals. We pledge ourselves to crafting and maintaining an environment that respects diverse traditions, heritages, and experiences. DocGo is an Equal Employment Opportunity and Affinity Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. The above‑noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position. #J-18808-Ljbffr Ambulnz NY, LLC