Medical Billing and Coding Specialist

Job description

COMPANY

Trajectory/MedHQ RCM services is the largest revenue cycle management company based in Wichita, KS. We provide revenue cycle management for clients in Kansas managing over $500,000,000 in cash collections per year. We have grown by an average of 40% per year since starting operations in 2014. This allows us to offer significant opportunity for advancement to those team members that prove excellence and meet our cultural imperatives of teamwork, client focus, and Pursuit of Awesome.

We believe our quality of service begins with our quality of team member. We offer exceptional benefits and working environments to exceptional employees. We are seeking a qualified medical billing and coding specialist. The qualified candidate will have 3* or more years of experience in medical billing and coding, be self-motivated, and excellent communicator, positive and detail oriented. Job functions include the following.

**Responsibilities:**
 

1. **ICD-10 Coding:** Accurately assign ICD-10 diagnosis codes to patient encounters based on medical documentation and coding guidelines.
2. **Claim Submission:** Prepare and submit electronic and paper claims to insurance payers in a timely manner, ensuring compliance with payer requirements and regulations.
3. **Claim Follow-Up:** Monitor claim status, identify and resolve claim rejections, denials, and pending issues to expedite payment processing.
4. **Payment Posting:** Post payments, adjustments, and denials accurately into the billing system, reconciling payments with billed amounts and contractual agreements.
5. **Registration Issue Resolution:** Address and resolve registration-related issues such as insurance verification, demographic updates, and eligibility discrepancies to ensure accurate billing and claims processing.
6. **Appeal Claims:** Analyze denied claims, identify reasons for denials, and prepare and submit appeals to insurance payers for reconsideration.
7. **Reconciliation:** Conduct regular reconciliation of accounts receivable, identifying discrepancies and taking necessary actions to resolve outstanding balances.
8. **Compliance:** Maintain knowledge of current billing regulations, coding guidelines, and payer policies to ensure compliance with industry standards and regulations.

**Qualifications:**

1. - Proven experience in medical billing and coding, with a strong understanding of ICD-10 coding guidelines and procedures.
2. - Proficiency in electronic health record (EHR) systems, billing software, and claim submission platforms.
3. - Excellent understanding of insurance billing processes, including claim submission, follow-up, and appeals.
4. - Strong analytical and problem-solving skills, with the ability to identify and resolve billing and coding issues effectively.
5. - Detail-oriented with a high level of accuracy in data entry and documentation.
6. - Effective communication skills, both written and verbal, with the ability to interact professionally with patients, insurance payers, and internal stakeholders.
7. - Certified Professional Coder (CPC) credential or equivalent certification required.

FULL TIME BENEFITS

1. Employer sponsored Major Medical
2. Employer sponsored Dental
3. Employer sponsored Vision
4. Accidental Death and Disability insurance
5. Short term disability
6. 4.5% 401K matching
7. Flexible spending account
8. Generous paid time off
9. True opportunity for advancement

This job is a remote position.