Job Summary
As a Certified Billing & Coding Specialist, you will play a crucial role in our behavioral health agency, ensuring accurate and timely submission of claims to insurance providers. Your expertise in medical billing and coding will support the financial health of our organization, contributing to efficient revenue cycle management. By applying standardized codes to patient records and maintaining compliance with billing regulations, you will help facilitate seamless financial processes that enable quality client care.
Job Duties/Responsibilities:
Billing and Coding:
- Assign accurate codes to diagnoses, treatments, and procedures for client records using standardized coding systems (ICD-10, CPT, HCPCS).
- Ensure all codes are correctly applied for billing and reimbursement purposes.
- Review patient charts and other documentation to verify coding accuracy.
Claims Processing:
- Prepare and submit clean claims to insurance providers to maximize timely payments.
- Follow up on unpaid or denied claims, correcting and resubmitting as necessary.
- Work closely with insurance companies to resolve claim disputes and rejections.
Financial Reconciliation:
- Assist in reconciling accounts receivable and processing patient payments.
- Manage client accounts, including invoicing, payment plans, and balance inquiries.
- Prepare monthly reports on billing activity and revenue collection.
Compliance and Confidentiality:
- Maintain compliance with HIPAA and other regulatory requirements regarding patient privacy and billing practices.
- Adhere to all federal, state, and local billing regulations to ensure ethical and legal coding and billing.
Communication and Coordination:
- Collaborate with clinical staff to clarify documentation and ensure coding accuracy.
- Act as a resource for administrative and clinical staff regarding billing and coding issues.
- Communicate effectively with patients regarding billing inquiries and provide assistance in understanding their financial obligations.
Other Related Duties:
- Stay updated on coding changes and industry trends to ensure ongoing accuracy and compliance.
- Participate in staff training sessions to improve billing and coding efficiency.
- Other duties as assigned.
Job Qualifications
To perform this job successfully, an individual must meet the minimum qualifications listed below. These qualifications are representative of the knowledge, skill and/or ability required to perform this job.
- High school diploma or equivalent; additional education or training in healthcare administration is a plus.
- Certified Billing and Coding Specialist (CBCS) or equivalent certification.
- Prior experience in medical billing and coding, preferably in a behavioral health setting.
- Familiarity with ICD-10, CPT, HCPCS coding systems, and knowledge of HIPAA regulations.
- Proficient in using electronic health record (EHR) systems and billing software.
- Strong interpersonal skills and the ability to explain billing processes to clients and team members.
- Exceptional accuracy in coding and financial reconciliation.
Job Type: Full-time
Pay: $23.00 - $27.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Application Question(s):
- Do you live in Washington State?
- How many years of experience do you have with RCM?
Work Location: In person
