Medical Billing Coding Specialist

• The Medical Billing Coding Specialist is responsible for billing and analysing procedures and modifiers to troubleshoot and resolve billing issues, rejections, denials, and appeals. The Specialist will work as part of a cross-functional team to ensure all services provided by HCPH are billed in a timely and accurate manner and responsible for remaining up to date on billing guidelines.

Role & Responsibilities:

• Analyse billing procedures and modifiers to resolve billing issues, rejections, denials, and appeals. -Work with Medicaid and all other governmental and commercial insurance carriers to resolve claim errors. -Review billing charges and other data for accuracy and potential reimbursement enhancement.
• Obtain from applicable providers, clinic, and support staff complete diagnosis information to ensure proper assignment of codes.
• Respond to questions from staff, insurance carriers, and clients.
• Run, review, and summarize reports for billing, reimbursement, and accounts receivable.
• Work collaboratively with clinical and health information systems staff regarding billing/coding revisions in the electronic billing system.
• Work as part of a cross-functional team to ensure all services provided are coded and billed in a timely and accurate manner. -Provide feedback on operational improvements to enhance the efficiency of charge capture to reduce denials and optimize overall reimbursement.
• Work with CHWD to ensure credentials for providers are up to date or added as new providers are hired. -Add clinic locations to TMHP system as needed.

Minimum Requirements:

• High school diploma -An active Billing and Coding Certificate (CPC, CCS, CMC, etc.) -5 years of billing experience and coding denial resolution -Preferred 3 years’ experience billing and coding using an Electronic Medical Records system -Valid TX driver’s license

Work Environment:

• This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Physical Requirements:

• This is a largely sedentary role; however, some duties would require the ability to lift up to 20 pounds and bending & standing for periods at a time.

Equipment/Access Needed:

• Laptop, Phone, Access to EPIC, HART and HPCC division case management systems and SharePoint.

About our Company: –
22nd Century Technologies, Inc., is one of the fastest growing IT Service Integrator and Workforce Solution companies in the United States. Founded in 1997, 22nd Century Technologies is a Certified National Minority Business Enterprise with 6,000+ people including 600+ Cyber SMEs nationwide supporting our customers in all 50 states, Canada, and Mexico. With HQs in Somerset, NJ and Mclean, VA, 22nd Century has 14 offices throughout the United States. As part of our unrelenting focus on quality and compliance, 22nd Century Technologies’ delivery is based on Certified Matured Processes including CMMI L3 Dev & SVC, ISO 20000, ISO 27001, and ISO 9001 quality processes. With a strong focus on the public sector, 22nd Century currently holds government contracts with 14 out of 15 Federal Executive agencies including DoD, 37 other Federal agencies, 50 States, 115+ Local agencies, and 37 School Districts. In the last three years, we have expanded our services to Fortune 500 and other commercial clients and currently support 80+ commercial clients.
Recognized among “Best Company to Work For” by Forbes, 22nd Century Technologies, Inc., consistently exceeds our clients’ expectations by focusing on their absolute satisfaction with jobs while keeping our employees motivated.
“22nd Century Technologies is an Equal Opportunity Employer” and “US Citizens & all other parties authorized to work in the US are encouraged to apply.”
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.