Medical Billing Specialist- Certified Coder

Position: Medical Billing Specialist- Certified Coder Location: Los Angeles, CA Overview We are seeking a detail-oriented and experienced Medical Billing Specialist / Certified Medical Coder to join our team. The ideal candidate will have hands‑on experience in medical coding and billing, with strong knowledge of CPT, ICD‑10, and HCPCS coding guidelines. This role requires an individual who can work independently, maintain high accuracy standards, and ensure compliance with all applicable healthcare regulations and payer requirements. Key Responsibilities Medical Coding & Billing Review and accurately assign CPT, ICD-10, and HCPCS codes for medical procedures, services, and diagnoses. Ensure coding accuracy and compliance with federal, state, and payer-specific regulations. Submit insurance claims accurately and in a timely manner. Apply appropriate coding guidelines, reimbursement policies, and medical necessity requirements. Review, investigate, and resolve claim edits, rejections, denials, and payment discrepancies. Correct and rebill claims as necessary to maximize reimbursement. Verify that provider documentation supports billed services and coding selections. Collaborate with providers and clinical staff to clarify diagnoses, procedures, and documentation requirements. Maintain accurate and compliant records within the billing system. Revenue Cycle Management Monitor accounts receivable and follow up on outstanding claims. Track claim status and ensure timely resolution of unpaid balances. Support revenue cycle processes to improve reimbursement and reduce denials. Stay current on coding updates, payer policies, and regulatory changes affecting billing and reimbursement. Qualifications Required Certification Certified Professional Coder (CPC) through AAPC, or Equivalent certification such as CCS or CCA. Candidates with an expired certification and a minimum of three years of relevant coding experience may be considered. Experience 2 4 years of medical coding and billing experience required. Strong experience with CPT, ICD-10, and HCPCS coding. Experience working with insurance claims, denials management, claim corrections, and payer follow-up. Knowledge of payer reimbursement methodologies and billing regulations. Technical Skills Experience with Electronic Health Record (EHR/EMR) systems. Familiarity with medical billing software and revenue cycle management processes. Proficiency in Microsoft Office applications, particularly Excel. Skills & Competencies Strong attention to detail and accuracy. Excellent analytical and problem-solving skills. Ability to work independently with minimal supervision. Strong organizational and time-management abilities. Effective written and verbal communication skills. Ability to meet productivity and performance targets. Commitment to HIPAA compliance and patient confidentiality. Ability to collaborate effectively with cross-functional teams while managing individual workload. #J-18808-Ljbffr Civic Minds