Billing and Coding Coordinator

Summary

Family Care Center is a behavioral health provider focused on transforming lives through outpatient care. The Billing and Coding Coordinator posts charges, prepares and submits claims, conducts coding reviews, resolves discrepancies and denials, and maintains billing compliance and records.

Responsibilities

• Submit clean electronic and paper claims to payers
• Conduct coding reviews to ensure compliant CPT, CID-10 and HCPCS coding in alignment with payer guidelines and regulatory requirements
• Audit Software Oversight- Auditing claims with audit software to identify trends, discrepancies, and opportunities for revenue optimization
• Identify and correct coding errors prior to claim submission to reduce denials, errors and rejections
• Investigate and resolve claims submission problems with third-party payers and review new and existing third-party claims processing information
• Analyze and respond to claim denials related to coding and documentation issues, working with providers and clinical staff to obtain necessary corrections
• Review, adjust, and edit insurance coverage, bills, and statements to ensure accuracy
• Stay up to date with coding and billing regulation changes to maintain compliance with CMS and commercial payer guidelines
• Take phone calls from internal and external customers, answering questions, taking payments, and resolving billing and coding-related issues
• Assist in training and educating providers and staff on coding and documentation best practices
• Maintain accurate records of billing and coding activities, including tracking and reporting trends in claim denials and rejections
• Other duties as assigned by management

Skills

• High school diploma or equivalent required
• Two years progressively responsible clerical experience in a healthcare setting required
• Experience with Microsoft Office Suite required
• Associate degree preferred
• Experience with payer portals, clearinghouses or other healthcare systems preferred
• Certified Professional Coder (CPC) preferred

Qualifications

Must Haves

• High school diploma or equivalent required
• Two years progressively responsible clerical experience in a healthcare setting required
• Experience with Microsoft Office Suite required

Nice to Haves

• Associate degree preferred
• Experience with payer portals, clearinghouses or other healthcare systems preferred
• Certified Professional Coder (CPC) preferred

Benefits

• Engaging wellness program
• Volunteer events
• Team activities
• Clear paths for career advancement at every level
• Professional development and personal growth
• Free from weekend or evening hours
• Medical benefits
• Dental benefits
• Fertility benefits
• Retirement benefits
• Wellness benefits
• Profit sharing