Medical Biller / Coder & Credentialing Specialist

Job Description While professional experience and qualifications are key for this role, make sure to check you have the preferable soft skills before applying if required. Job Description Location: Tucson Employment Type: Full-Time Schedule: Monday – Friday Our multi-location healthcare organization is seeking a highly organized professional who understands both medicalbilling/coding and provider credentialing and can support operational improvements within the revenue cycle. Position Overview The Medical Biller / Coder & Credentialing Specialist will manage key functions of the revenue cycle including coding accuracy, claims processing, payer credentialing, denial management, and provider enrollment. This role works closely with providers, leadership, and clinical teams to ensure accuratebilling, compliance with payer requirements, and efficient reimbursement processes. Key Responsibilities Medical Coding Review provider documentation and assign accurate ICD-10, CPT, and HCPCS codes Ensure coding complies with payer regulations and industry guidelines Identify documentation gaps and communicate with providers when clarification is required Support coding compliance and documentation improvement Claims &Billing Prepare and submit electronic claims through the practice management system Monitor claim status and follow up on unpaid or denied claims Investigate claim rejections and coordinate corrections with staff Work with clearinghouses and insurance payers to resolvebillingissues Revenue Cycle Management Monitor and manage accounts receivable Track aging reports and follow up on outstanding balances Investigate underpayments and payer discrepancies Support efforts to improve clean claim rate and reduce days in A/R Provider Credentialing & Enrollment Manage provider credentialing and recredentialing with commercial and government payers Maintain provider enrollment records and credentialing documentation Track credentialing timelines and renewal deadlines Coordinate payer enrollment applications and updates Ensure provider information is accurately reflected in payer systems Work with leadership and providers to ensure timely credentialing during onboarding Compliance & Quality Maintain compliance withbillingregulations and payer policies Support internalbillingand coding audits Ensure HIPAA compliance and protection of patient data Reporting & Operational Support Generatebilling, collections, and credentialing status reports Identify opportunities to improvebillingworkflows and revenue cycle performance Collaborate with leadership to improve operational efficiency Qualifications Required Minimum 3 years experience in medicalbilling, coding, or revenue cycle management Experience with provider credentialing and payer enrollment Strong knowledge of ICD-10, CPT, and HCPCS coding Experience working xmvmafu with insurance payers and claim follow-up Strong attention to detail and organizational skills Preferred CPC, CCS, or equivalent coding certification Experience in dermatology or outpatient specialty practices Experience with Modernizing Medicine (ModMed EMA) or similar EMR systems Knowledge of dermatology procedures, Mohs surgerybilling, or cosmetic services Key Competencies Strong analytical and problem-solving abilities Excellent attention to detail Ability to manage multiple priorities and deadlines Strong communication skills with clinical and administrative teams Commitment to compliance andbillingaccuracy What We Offer Competitive compensation based on experience Monday–Friday work schedule Professional and collaborative work environment Opportunity to support and improve revenue cycle operations within a growing healthcare organization Powered by JazzHR r4KjaZACZY