MEDICAL BILLING SPECIALIST

Company: New Horizon Billing Solutions (NHBS) Department: Medical Billing – Revenue Cycle Management (RCM) Location: In-Office / On-Site – Las Vegas, NV Schedule: Monday – Friday, 9:00 AM – 5:00 PM Employment Type: Full-Time POSITION SUMMARY The Certified Medical Coder is responsible for reviewing patient medical records and accurately translating diagnoses, procedures, and healthcare services into standardized ICD-10-CM, CPT, and HCPCS codes. This role ensures accurate billing, proper insurance reimbursement, compliance with federal, state, and payer regulations (including LCD/NCD guidelines), and efficiency across revenue cycle operations. The coder collaborates closely with providers, the billing team, and the auditing function to clarify documentation, resolve discrepancies, and support coding audits and reviews. KEY RESPONSIBILITIES Coding & Documentation Review Review medical records and assign accurate diagnosis and procedure codes (ICD-10-CM, CPT, HCPCS). Collaborate with healthcare providers to clarify documentation, issue provider queries, and resolve discrepancies. Submit coded data for claim generation and insurance reimbursement, ensuring codes are correct for billing purposes. Compliance & Auditing Ensure compliance with federal and state regulations, payer policies, and LCD/NCD coverage guidelines. Support coding audits, chart reviews, and documentation assessments to ensure accuracy and audit readiness. Maintain strict confidentiality and uphold HIPAA regulations at all times. Continuing Standards Stay current on changes in coding standards, annual code set updates, LCD/NCD guidelines, and industry best practices. Support education and feedback to providers and billing staff on documentation and coding requirements. REQUIRED QUALIFICATIONS & EXPERIENCE High school diploma or GED required. 2+ years of experience in medical coding or healthcare administration. Strong knowledge of medical terminology, anatomy, and physiology. Proficiency with electronic health records (e.g., Tebra, eClinicalWorks, ModMed, DrChrono) and coding/encoder software (e.g., 3M). Familiarity with Medicare LCD/NCD coverage guidelines. PREFERRED QUALIFICATIONS (INDUSTRY STANDARD) Associate's degree in health information management or a related field. Additional credentials such as AAPC COC (outpatient) or CRC (risk adjustment), or AHIMA RHIT. Experience supporting coding audits and compliance reviews. Specialty experience in wound care documentation and coding is a plus but not required. Commitment to continuing education to maintain certification and stay current with coding updates. SKILLS & COMPETENCIES Exceptional attention to detail and analytical skills. Excellent communication and organizational abilities, including professional provider-facing communication. Ability to manage productivity and accuracy standards in a deadline-driven environment. Proficiency with Microsoft Office programs (Word, Excel, Outlook). COMPENSATION Estimated Salary Band: $52,000 – $68,000 per year (approx. $25.00 – $32.70/hour) Estimated banding based on current market data (ZipRecruiter Las Vegas certified coder average ~$52,700; AAPC 2026 salary survey: Nevada CPC average ~$61,000, certified coding professionals ~$67,300 nationally; September 2026). Final offer to be commensurate with certification(s), specialty experience, and auditing capability. WORK ENVIRONMENT & PHYSICAL REQUIREMENTS Professional office environment; prolonged periods of sitting at a desk and working on a computer. Fast-paced, deadline-driven setting requiring sustained attention to detail and strict confidentiality of protected health information (PHI) under HIPAA. WHY JOIN NHBS Competitive pay and comprehensive benefits. Supportive, collaborative team environment. Opportunities for professional growth, continuing education, and advancement. New Horizon Billing Solutions is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. #J-18808-Ljbffr