General Job Requirement: The Medical Billing Coder is responsible for reviewing clinical documentation and assigning appropriate CPT, ICD-10, and HCPCS codes for procedures and diagnoses across ENT, allergy, audiology, and surgical services. This role ensures compliance with payer guidelines, supports revenue cycle integrity, and collaborates with providers and billing staff to resolve coding-related issues.
Essential job responsibilities:
· Review and abstract clinical documentation to assign accurate codes for professional and facility services.
· Ensure coding compliance with CMS, HIPAA, and payer-specific regulations
· Monitor claim denials and assist in coding-related appeals
· Collaborate with provider to clarify documentation and support accurate coding
· Maintain current knowledge of coding guidelines, payer policies, and regulatory requirements and updates
· Assist with audits, coding education, and workflow improvements as needed
· Work as a backup to the front office, answering billing calls, and assisting patients with claims and billing related issues
Other Duties:
· Perform additional tasks as assigned by team lead, Clinic Manager, Administrator, or Providers.
Education:
High school diploma or general equivalency diploma (GED); associate’s degree preferred. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential required.
Experience:
Minimum of two years of coding experience in ENT, allergy, audiology, or surgical specialties preferred. Strong knowledge of CPT, ICD-10, HCPCS, and modifier usage. Familiarity with EHR systems and billing software (Athena). Excellent attention to detail, organizational skills, and communication abilities. Commitment to confidentiality, compliance, and teamwork.
Other Requirements:
Maintain certifications in good standing from issuing boards.
Equipment Operated: Standard medical exam/office equipment, which may include computerized health information management system, x-ray equipment, portable medical devices, etc.
Work Environment: This position is based in a professional medical office setting within our billing department. The role involves close collaboration with administrative staff, providers and department leads across the clinic, allergy, audiology, and our Ambulatory Surgery center. The environment is fast paced, detail oriented, and compliance driven, with a strong emphasis on accuracy, confidentiality and teamwork.
Mental Requirements: Ability to concentrate and remain focused for extended periods while reviewing complex documentation and coding data. Strong analytical thinking and problem-solving skills. High level of attention to detail and accuracy. Ability to manage multiple tasks and deadlines with minimal supervision. Professional communication skills, both written and verbal. Commitment to ethical standards, discretion and patient confidentiality.
Physical Requirements: Prolonged periods of sitting at a desk and working on a computer. Occasional lifting of files or office supplies up to 30 lbs. Manual dexterity for keyboarding and handling documents. Visual acuity for reading electronic and paper records. Ability to move throughout the office to collaborate with team members or attend meetings.
Job Type: Full-time
Pay: $18.00 - $21.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Health insurance
- Life insurance
- Paid time off
Ability to Commute:
- Dalton, GA 30720 (Required)
Ability to Relocate:
- Dalton, GA 30720: Relocate before starting work (Required)
Work Location: In person
