Key Responsibilities Include: Review completed encounters and claims for accuracy before submission Verify that appropriate CPT, HCPCS, ICD-10-CM, and applicable modifiers are used Review claims for common billing errors and missing information Ensure claims are submitted using the appropriate billing methodology for Rural HealthClinic (RHC) services Review payer-specific requirements and identify potential claim issues beforesubmission Assist with proper billing of Medicare, TennCare/Medicaid, Medicare Advantage,commercial insurance, and other payers Identify claims that may require correction prior to submission Review claim edits, rejections, and clearinghouse errors Assist with correcting and resubmitting rejected claims when needed Monitor recurring denial and rejection trends and communicate issues to clinicleadership Work within eClinicalWorks (eCW) and applicable clearinghouse/payer portals Maintain awareness of payer billing and coding requirements Assist with periodic review of accounts receivable and outstanding claim issues asneeded Communicate with clinic staff regarding documentation or coding issues that could affectreimbursementPreferred Qualifications 2+ years of medical billing and/or coding experience Experience with Rural Health Clinics (RHCs) strongly preferred Experience with Medicare RHC billing preferred Experience with TennCare/Medicaid and Medicare Advantage billing preferred Knowledge of CPT, HCPCS, ICD-10-CM, and medical billing guidelines Experience with eClinicalWorks preferred Familiarity with electronic claim submission and clearinghouses Strong attention to detail Ability to identify billing errors and independently research solutions Ability to work independently with minimal supervision Strong organizational and communication skills. We are looking for someone who can quickly review our daily claims, identify anything thatdoesn't look right, make or recommend the necessary corrections, and help ensure claims aresubmitted cleanly.