Medical Biller / Coder, Medical Clinics, Full Time - JR32-3

Medical Clinic Biller/Coder

Northwest Florida Community Hospital is seeking a detail-oriented and experienced Medical Clinic Biller/Coder to join our team. This position is responsible for accurate coding, billing, and claims processing for clinic services to ensure timely reimbursement and compliance with federal regulations and payer requirements. The ideal candidate will have strong knowledge of medical terminology, coding systems, and insurance billing procedures.

Responsible for all activities in the Clinic accounts receivable function. Manages billing and collection activities such as sending follow-up inquiries, negotiating with past due accounts, and referring accounts to collection agencies. Codes and sequences all diagnoses and procedures using established ICD-10-CM coding rules for each patient encounter; coding will be subject to accuracy and productivity rates as determined by department manager. Maintains accurate records. Audits methods and procedures of accounts receivable function to improve efficiency and cash flow. Ensure maximum cash collection and consistent cash flow.

Key Responsibilities:

• Assign appropriate ICD-10, CPT, and HCPCS codes for clinic services and procedures
• Prepare and submit insurance claims to commercial payers, Medicare, and Medicaid
• Review patient charts and documentation to ensure accurate coding and compliance
• Resolve billing discrepancies, claim rejections, and denials in a timely manner
• Follow up on outstanding accounts receivable and unpaid claims
• Ensure compliance with HIPAA regulations and healthcare billing guidelines
• Communicate with providers, clinic staff, and insurance companies regarding billing questions
• Maintain up-to-date knowledge of coding updates and regulatory changes
• Assist with patient billing questions and payment processing when needed
• Support the clinic revenue cycle process to promote accurate and timely reimbursement

Minimum Qualifications:

• High school diploma or equivalent required
• Minimum 12 years of medical billing and/or coding experience, preferably in a clinic or physician practice setting
• Knowledge of ICD-10, CPT, and HCPCS coding systems
• Experience working with electronic medical records (EMR) and billing systems
• Strong attention to detail and organizational skills
• Ability to manage multiple tasks and meet deadlines in a fast-paced environment

Education, Licenses, Certifications and/or Registrations:

• Certification such as CPC (Certified Professional Coder), CCS, or CBCS preferred
• Experience with Medicare, Medicaid, and commercial insurance billing
• Knowledge of medical terminology and anatomy

Schedule: Full-time position. Monday Friday, day shift.

Work Environment: This position is based in a hospital setting and requires frequent computer use, reviewing medical documentation, and communicating with staff and patients.

Work Remotely: No

Perks for our team:

401K with employer match

Medical, dental, vision, and life insurance

FREE Services with NFCH Providers

A generous PTO plan

Competitive pay

Health and Wellness Discounts

*Details outlining program specifics are available upon request

Pay:

Based on years' of experience

Benefits:

401(k)

401(k) matching

Dental insurance

Employee assistance program

Health insurance

Life insurance

Paid time off

Vision insurance

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, schedule and working conditions may change as needs evolve.

Northwest Florida Community Hospital is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Northwest Florida Community Hospital are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. Northwest Florida Community Hospital will not tolerate discrimination or harassment based on any of these characteristics. We encourage applicants of all ages.

In addition, as part of our commitment to quality and excellence, Northwest Florida Community Hospital will continue to maintain a safe, healthy environment for you by requiring all applicants, who are tentatively selected for a position, to submit to a criminal history check and screening for illegal drug use prior to appointment for a job.

Final confirmation of any job offer will be contingent upon the successful completion of all pre-employment requirements, including a pre-employment drug screening and background screening. Failure to submit to either screening, falsification of any screening information, or a positive finding on a drug test will result in removal from consideration for employment for a period of one year.