MPOWERHealth
Billing and Coding Specialist
West Conshohocken, Pennsylvania•Full-time
About the Job
"MUST HAVE CPC CERTIFICATE" Position is not remote
This role is well suited for someone with a medical billing/coding background who is comfortable reviewing documentation, coding accurately, submitting high volumes of professional claims, and resolving billing issues while working both independently and collaboratively.
Primary Responsibilities:
- Review, manage and submit 75-100 CMS-1500 professional claims each day.
- Assign accurate procedure and diagnosis codes.
- Verify claim accuracy before submission.
- Review medical records to determine appropriate ICD-10 and CPT codes.
- Coordinate with other departments to obtain missing documentation.
- Resolve claim rejections and make claim corrections.
- Collaborate with revenue cycle teams to understand payer-specific billing guidelines and state insurance requirements.
Key Qualifications:
- Certificate or diploma from an accredited medical billing/coding program.
- Professional coding certification (required).
- Knowledge of ICD-10 and CPT coding.
- Strong attention to detail and accuracy.
- Ability to multitask and prioritize work.
- Strong analytical and comprehension skills.
- Excellent verbal and written communication.
- Intermediate proficiency in Microsoft Excel.
- Work independently while maintaining timely communication with management.
- Positive attitude and ability to work collaboratively.
- Ability to consistently meet deadlines.
Preferred Experience:
- Medical billing and coding experience with CMS-1500 professional claims.
- Knowledge of insurance policies and reimbursement processes.
- Experience with out-of-network medical billing.