Overview

The Coding Specialist supports the Billing team by processing all charge entry for office and infusion services, reviews coding accuracy, and resolves claim errors prior to submission. Works closely with clinical and infusion departments to ensure compliant coding and optimal reimbursement. The schedule for this position is Monday - Thursday, 7 AM - 5 PM. The idea candidate is located in Florida.

Key Responsibilities

·       Process all infusion and office visit charges via RCX, ensuring coding accuracy and completeness.

·       Identify and correct claim errors prior to submission, working with clinical staff or providers as necessary to resolve issues.

·       Coordinate with the Infusion department to review proper coding for treatments and ensure documentation supports billing.

·       Review patient balances ahead of upcoming appointments, making notes to assist the front office with billing-related questions.

·       Assist with denial resolution when time allows, collaborating with the billing team to correct and resubmit claims.

·       Respond to front office questions through chat or other communication channels regarding coding and billing issues.

·       Maintain up-to-date knowledge of coding guidelines and payer requirements to ensure compliance.

·       Support the revenue cycle team with payment posting–related projects and initiatives.

·       Other duties as assigned. This job description is not designed to cover or contain a comprehensive list of activities, duties, or responsibilities that are required of the employee. They may change, or new ones may be assigned at any time with or without notice. 

Qualifications

·       High school diploma or equivalent required; associate degree in accounting, business, or healthcare administration preferred.

·       Minimum of 1–2 years of medical billing, payment posting, or accounts receivable experience in a healthcare setting. Specialty experience, preferred.

·       Strong understanding of insurance EOBs, ERAs, and medical billing processes.

·       Proficiency with practice management systems (NextGen experience, preferred) and payer portals such as Payspan, Instamed, Mutual of Omaha, Optum Pay, and Tricare.

·       Strong attention to detail, accuracy, and organizational skills.

·       Ability to work independently and prioritize tasks in a fast-paced environment.

·       Excellent verbal and written communication skills.

·       Proficiency in Microsoft Office Suite (Word, Excel, Outlook).

·       Knowledge of HIPAA regulations and commitment to patient confidentiality.

Physical Demands

·       Prolonged periods of sitting at a desk and working on a computer.

·       Ability to use hands and fingers to handle, control, or feel objects and operate a keyboard.

·       Occasional standing, walking, bending, and reaching as needed to access files or office equipment.

·       Visual acuity to read and enter data accurately into electronic systems.

·       Hearing and speech ability sufficient to clearly communicate with patients, coworkers, and insurance representatives in person, over the phone, and through electronic communication systems.

·       Ability to handle multiple tasks in a fast-paced environment with frequent interruptions.

·       Must be able to communicate clearly and professionally in person, over the phone, and electronically.