Billing and Coding Specialist - Sleep Medicine - Ohio Sleep Medicine Institute

Dublin, OH – Seeking Billing and Coding Specialist Everybody Has A Role To Play In Transforming Healthcare As a Billing and Coding Specialist, you play a vital role in our mission to improve lives. This position reviews clinical documentation to assign accurate ICD-10-CM diagnosis and CPT/HCPCS procedure codes for sleep medicine services (including polysomnography, home sleep apnea testing, MSLT, and MWT), and performs front-end and back-end billing functions including insurance verification, prior authorization, claims submission, and denial/collections follow-up. The role requires working knowledge of both coding compliance standards and revenue cycle practices to ensure accurate, timely, and compliant reimbursement for sleep medicine services. At Vituity we know the impact you can have. Join the Vituity Team. At Vituity we’ve cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done. Vituity Locations Vituity has opportunities at 900 practices across the country, serving 14.5+ million patients a year. With Vituity, if you ever need to move, you can take your job with you. The Opportunity Review and analyze medical records and documentation to ensure accurate coding and billing Assign appropriate ICD-10-CM, CPT, and HCPCS Level II codes to diagnoses and procedures for sleep medicine services (e.g., polysomnography, home sleep apnea testing, MSLT, MWT) Query providers for clarification when clinical documentation does not support accurate code assignment Apply CMS National Correct Coding Initiative (NCCI) edits and payer-specific coverage policies (LCD/NCD) to ensure compliant code selection Maintain current knowledge of annual ICD-10-CM, CPT, and HCPCS code-set updates and sleep medicine coding guidelines Maintain confidentiality of patient information in accordance with HIPAA regulations Verify patient insurance coverage and obtain necessary authorizations for services Prepare and submit claims to insurance companies for reimbursement Follow up on unpaid or denied claims and resolve any billing discrepancies Interpret Explanation of Benefits (EOB) and remittance advice to resolve payment discrepancies and identify denial trends Collaborate with medical office staff to ensure accurate and timely billing processes Required Experience and Competencies High school diploma or GED required. Minimum of 2 years of experience in medical billing and/or medical coding, including diagnosis and procedure code assignment Required. Proficiency in medical terminology and coding systems, including ICD-10-CM, CPT, and HCPCS Level II, and billing/practice-management software required. Certified Professional Coder (CPC) or Certified Billing and Coding Specialist (CBCS) certification preferred. Experience coding and billing for sleep medicine or pulmonary specialty services (e.g., polysomnography, home sleep apnea testing, MSLT, MWT) preferred. Associate's degree in health information technology, medical billing and coding, or a related field preferred. Knowledge of medical collection practices and procedures Strong attention to detail and accuracy in coding and billing processes Excellent communication skills to interact with patients, insurance companies, and healthcare providers Ability to work independently and prioritize tasks in a fast-paced environment. Ability to read and interpret Explanation of Benefits (EOB) and remittance advice from various payers. Knowledge of coding compliance guidelines, including CMS National Correct Coding Initiative (NCCI) edits and payer-specific coverage policies (LCD/NCD). Ability to interpret clinical documentation to support accurate diagnosis and procedure code selection The Practice Ohio Sleep Medicine Institute – Dublin, Ohio Vituity’s physician partnership culture inspires clinician retention and engagement, and supports autonomy to make local decisions. Equal distribution among all practicing physicians. No outside investors, external stakeholders, or long-term debt. The Community Dublin, Ohio, is a charming city combining small-town appeal with modern amenities, making it an ideal place to work and call home. Located just outside Columbus, Dublin offers a vibrant community and a robust job market, particularly in healthcare and technology. The city is renowned for its scenic beauty, with landmarks like Indian Run Falls and the Dublin Link, a striking pedestrian bridge. Residents enjoy outdoor activities at Glacier Ridge Metro Park and events like the Dublin Irish Festival, one of the largest in the country. Dublin experiences four distinct seasons, with warm summers and snowy winters. Its proximity to Columbus provides access to cultural attractions, shopping, and sports events, including Ohio State University athletics. Known for its excellent schools, well-planned neighborhoods, and strong community spirit, Dublin offers a high quality of life for families and professionals alike. Benefits & Beyond* Vituity cares about the whole you. With our comprehensive compensation and benefits package, we are mindful of what matters most, and support your needs of today and your plans for the future. Superior health plan options Dental, Vision, HSA/FSA, Life and AD&D coverage, and more Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6% plus discretionary profit-sharing contributions (eligible January following 18 months of service) Outstanding Paid Time Off: Start at 4 weeks’ PTO, Paid holidays, Sabbatical Student Loan Refinancing Discounts Professional and Career Development Program EAP and travel assistance included Wellness program Commuter Benefits Program Purpose-driven culture focused on improving the lives of our patients, communities, and employees Salary range for this role is $22. We are unified around the common purpose of transforming healthcare to improve lives and we believe everyone has a role to play in that. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in. If you are looking to make a difference, from clinical to corporate, Vituity is the place to do it. Come grow with us. Vituity does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Vituity is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity. *Benefits for part-time and per diem vary. Applicants only. No agencies please. #J-18808-Ljbffr Vituity