Coding & Billing Specialist

Job Description

Job Description

Coding & Billing Specialist

Albany, NY (100% On-site)

Fusco Personnel is actively recruiting for a detail-oriented and experienced Coding & Billing Specialist to join our client and their growing healthcare team. This role is responsible for ensuring accurate medical coding, timely claims processing, insurance follow-up, and reimbursement management.

The ideal candidate will possess strong knowledge of medical coding standards, billing practices, and insurance regulations while maintaining a high level of accuracy and confidentiality.

This position works collaboratively with providers, clinical staff, patients, and insurance carriers to support efficient revenue cycle operations and ensure compliance with all applicable healthcare regulations.

This is a full-time, direct hire opportunity.

If you are a motivated healthcare professional with a strong coding and billing background and a commitment to accuracy and compliance, we encourage you to apply!

Duties and Responsibilities

Medical Coding

• Review clinical documentation and accurately assign CPT, ASA, and ICD-10 codes for services rendered.
• Research and obtain necessary documentation from physicians and facilities to support coding accuracy.
• Serve as a coding resource for billing staff by providing guidance on coding questions and discrepancies.
• Follow up with clinical staff regarding missing or incomplete documentation.
• Meet established coding productivity and accuracy benchmarks.
• Maintain coding certification requirements and stay current on industry regulations and updates.
• Perform additional coding-related duties as assigned.

Medical Billing & Accounts Receivable

• Manage insurance and patient accounts through resolution, including follow-up on outstanding balances.
• Investigate, appeal, and resolve denied, underpaid, overpaid, and delinquent claims.
• Respond professionally to patient and insurance inquiries via phone and written correspondence.
• Process insurance and patient refunds according to organizational policies.
• Post insurance and patient payments accurately within the billing system.
• Retrieve and review payment remittances as needed.
• Meet established billing productivity and performance goals.
• Assist with revenue cycle improvement initiatives and account reconciliation activities.

Qualifications

• CPC (Certified Professional Coder) certification required.
• Strong working knowledge of CPT, ASA, and ICD-10 coding guidelines.
• Experience with medical billing, insurance follow-up, and claims resolution.
• Excellent attention to detail and organizational skills.
• Strong verbal and written communication abilities.
• Ability to work independently while contributing effectively within a team environment.
• Proficiency with electronic billing systems and healthcare software preferred.

Additional Requirements

• Maintain strict confidentiality of patient, employee, and organizational information in accordance with HIPAA regulations.
• Complete all required compliance, safety, and confidentiality training.
• Perform additional duties as assigned by management.

Salary

$21.00-$24.00/hr

Fusco Personnel takes great pride in successfully matching talent and culture for our valued clients. We accomplish this through the hard work and expertise of our exemplary specialty recruiters and staff.

Whether you are contemplating your next career move, or you are seeking the key players to bring your business to the next level – consider contacting our experts.

Fusco Personnel is a NYS Certified Women Business Enterprise (WBE) and an Affirmative Action/Equal Opportunity, Race/Gender/Veterans/Disability Employer