Medical Billing and Coding Specialist

Job description

COMPANY

Trajectory RCS joined the MedHQ family in 2024 after enjoying 10 years as a well-established revenue cycle company with an annual growth rate of 40% to 50% and 150 employees. Together they now serve small hospitals, physician groups, ambulatory surgery, and outpatient centers nationwide by optimizing. healthcare cash flow through integration of both business office processes and clinical documentation.

MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and above all excellent customer service. MedHQ, LLC, is a 2022 Becker’s Top 150 Places to Work in Healthcare company.

The MedHQ LLC service line offerings have grown organically over the years, beginning by providing high quality traditional human resource, accounting, and staff credentialing as a Professional Employer Organization, (PEO.) In 2022, MedHQ formed a relationship with 424 Capital, and quickly expanded into a well-rounded, menu services driven financial management company. This robust infusion of expert service line offerings has resulted in MedHQ and MedHQ clients’ efficiencies and growth. The MedHQ, LLC, menu of client services include Advisory, Client Human Resources, Client Accounting, Staff Credentialling, Clinical Staffing, and Revenue Cycle Services. For additional detailed information please review www.medhq.com and www.trajectoryrcs.com

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.