Medical Billing Specialist

Job Description

Job Description

The Atlantic Group has partnered with a large nonprofit in the Harlem, NYC area. They have an immediate need for a Medical Coding & Billing Specialist to join their team. This position is a full-time contract role with an open-ended timeframe.

Job Title: Medical Coding & Billing Specialist

Schedule: Full-time, Monday–Friday, 9:00 AM–6:00 PM

Location: Onsite, 5 days per week

Job Description

Seeking an experienced Medical Coding & Billing Specialist to support daily billing operations in a healthcare setting. This individual will be responsible for accurately coding and billing patient encounters, reviewing medical documentation, submitting claims, and following up on outstanding accounts. The ideal candidate has strong knowledge of ICD-10-CM, CPT, Medicare, Medicaid, and commercial insurance billing guidelines.

Key Responsibilities

-Review medical records and assign accurate ICD-10-CM, CPT, and HCPCS codes.

-Process and submit claims for medical, behavioral health, dental, and preventive services.

-Review claims for accuracy and compliance with Medicare, Medicaid, and other payer requirements.

-Monitor claim status, research denials, submit appeals, and resolve billing issues.

-Post payments and adjustments, reconcile daily charges, and maintain accurate patient accounts.

-Monitor accounts receivable and prepare billing and collection reports.

-Educate providers and staff on proper coding, documentation, and billing procedures.

Qualifications

-At least 2 years of medical coding and billing experience in a healthcare setting.

-Strong knowledge of ICD-10-CM, CPT, and HCPCS coding.

-CPC, CCS, or equivalent coding certification.

-Experience with Medicare, NYS Medicaid, managed care, and commercial insurance billing.

-Experience with electronic medical billing systems; eClinicalWorks (eCW) preferred.

-Bilingual Spanish/English preferred.

-Strong communication, organization, and problem-solving skills with the ability to meet deadlines.

Note: Qualified candidates will be contacted within 3 business days of application. If an applicant does not meet the above criteria, we will keep your resume on file for future opportunities and may contact you for further discussion.

ID: 50944