Billing and Coding Specialist jobs in United States
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Pinnacle Fertility ยท 4 days ago

Billing and Coding Specialist

Pinnacle Fertility is a leading fertility care platform dedicated to fulfilling dreams by building families. The Billing and Coding Specialist will ensure accurate and timely medical coding for fertility procedures, adhering to compliance regulations, and supporting efficient billing operations.

Health Care

Responsibilities

Review patient records and assign accurate diagnosis codes (ICD-10), CPT, and HCPCS codes based on clinical documentation
Prepare and submit complex and high-dollar insurance claims, ensuring detailed and accurate documentation for claim approval
Utilize coding guides and electronic health record (EHR) systems to manage and update charge entries
Participate in internal and external coding audits, addressing and correcting any findings
Ensure compliance with federal, state, and payer regulations regarding medical coding standards
Resolve coding discrepancies, including re-coding as necessary and escalating issues to leadership as needed
Maintain accurate documentation and reports of coding processes and interactions with leadership regarding coding queries
Collaborate with team members and leadership to obtain missing or clarifying information necessary for accurate coding
Engage in ongoing training and professional development to stay current with evolving coding regulations and industry updates
Other duties and projects assigned

Qualification

Medical codingICD-10 codingCPT codingEHR systemsCoding softwareAttention to detailProblem-solvingCommunication skillsWork independently

Required

High school diploma or equivalent required
Minimum of 2 years of experience in medical coding or related healthcare roles
Strong attention to detail and exceptional accuracy in coding
Proficiency in coding software and EHR systems
Excellent verbal and written communication skills for documentation and collaboration
Strong problem-solving skills to manage complex charge scenarios
Ability to work independently and manage multiple tasks effectively

Preferred

Bachelor's degree or higher
Certified Coding Associate (CCA) or Certified Professional Coder (CPC)

Benefits

Comprehensive healthcare
Dental
Life, and vision insurance
Generous paid time off (PTO)
Paid holidays
Retirement savings program

Company

Pinnacle Fertility

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Pinnacle Fertility is a physician-centric fertility care platform.

Funding

Current Stage
Late Stage

Leadership Team

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Beth Zoneraich
Chief Executive Officer
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Danielle Kaczmarek-Birk
Assistant CBO Manager
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Company data provided by crunchbase