Medical Billing & Coding Specialist (Hybrid Schedule Available)Position SummaryEvergreen Family Health is seeking a detail-oriented and dependable Medical Billing & Coding Specialist to join our team. This position plays a key role in ensuring accurate medical coding, claim submission, denial resolution, payment posting, and revenue cycle performance while supporting excellent patient service. This position offers a hybrid work schedule after successful onboarding and training. Candidates must be able to work on-site at our Williston, Vermont office as needed. The ideal candidate is organized, proactive, and comfortable working collaboratively with providers, billing staff, and insurance companies to resolve claim and payment issues efficiently. ResponsibilitiesMedical Coding & Claims- Review and accurately code medical visits, procedures, and services using CPT, ICD-10, and HCPCS codes
- Ensure coding compliance with payer and regulatory guidelines
- Work collaboratively with providers regarding documentation and coding clarification needs
- Identify coding trends, documentation deficiencies, and opportunities for education
- Submit and review electronic claims for accuracy and completeness
- Identify and correct claim edits, rejections, and denials
Billing & Collections- Follow up on unpaid, denied, or underpaid insurance claims
- Communicate with insurance companies regarding claim status, appeals, and payment discrepancies
- Assist patients with billing questions and payment arrangements in a professional and compassionate manner
- Monitor accounts receivable aging and prioritize collection efforts
- Post payments and adjustments accurately
- Maintain thorough documentation of billing and collection activity
General Responsibilities- Support workflow improvements and revenue cycle efficiency initiatives
- Maintain confidentiality and compliance with HIPAA regulations
- Assist with additional billing office duties as needed
Qualifications- Previous medical coding and/or billing experience required
- Knowledge of CPT, ICD-10, and HCPCS coding systems
- Coding certification (CPC, CCS, or equivalent) preferred
- Experience with insurance follow-up and collections preferred
- Familiarity with electronic medical records and practice management systems (experience with eClinicalWorks preferred)
- Strong attention to detail and organizational skills
- Excellent communication and problem-solving abilities
- Ability to work independently while collaborating effectively with a team
Benefits- Competitive compensation based on experience
- Paid time off and holidays
- Hybrid work schedule
- Retirement plan and additional benefits for eligible employees
- Supportive, team-oriented work environment
|