Medical Billing and Coding Specialist (Healthcare)

TL;DR

Medical Billing and Coding Specialist (Healthcare): Handling claims coding, submission, and payment processing with an accent on CPT/ICD-10 standards and insurance denial management. Focus on optimizing revenue cycles for healthcare providers, including Medicaid and Medicare transactions.

Location: Fully Remote (Must be based in the US)

Company

hirify.global is a professional services firm providing valuation, strategic, and compliance solutions for a national client base in the healthcare industry.

What you will do

• Review medical records and assign CPT and ICD-10 codes to ensure accurate claim submission.
• Manage insurance claim denials and follow up on unprocessed claims to resolve outstanding receivables.
• Process and post payments, specifically handling Medicaid and Medicare transactions.
• Collaborate with providers and clients to identify and resolve billing and coding issues.
• Ensure all coding activities strictly comply with federal, legal, and insurance guidelines.
• Utilize technology and automation to improve the efficiency of billing systems and processes.

Requirements

• Valid Certified Professional Coder (CPC) Certification.
• Minimum 3 years of medical billing and coding experience in healthcare, medical office billing, or insurance.
• High School Diploma or GED.
• Proficiency in Electronic Health Record (EHR) systems and Microsoft Office Suite.
• Strong knowledge of medical terminology and CPT/ICD-10 coding standards.

Nice to have

• Experience with Federally Qualified Health Centers (FQHC), Primary Care Associations (PCA), or Tribal Health Organizations.

Culture & Benefits

• Fully remote work arrangement.
• Opportunity to work within a large team of over 300 professionals.
• Collaborative work environment focused on professional judgment and critical thinking.
• Support for continuous learning and intellectual curiosity.