ProCo, LLC · 2 weeks ago
Billing & Coding Specialist
Marietta,GA,US
Full-time
Onsite
Entry, Mid Level
2+ years expProCo, LLC is an integrated healthcare provider specializing in orthopedic, neuro-spine, and pain management services. The Billing and Coding Specialist plays a crucial role in accelerating revenue capture by ensuring accurate claims submission and preventing denials, thereby impacting the overall revenue performance of the company.
Human ResourcesMedicalRecruitingStaffing Agency
Responsibilities
Maximize Revenue Through Clean Claims Submission
Ensure charges result in clean claims that pay on first submission without denials or rejections
Prevent revenue loss by catching coding errors before claims are submitted
Accelerate cash flow through timely charge entry, enabling faster billing cycles
Apply correct CPT, ICD-10, and HCPCS codes that maximize appropriate reimbursement
Reduce claim rework and resubmissions that delay payment receipt
Maintain high accuracy rates that minimize denials impacting collections
Proactively Identify and Eliminate Recurring Issues
Recognize provider documentation patterns causing repeated coding problems
Escalate systematic issues to prevent ongoing denials and revenue delays
Alert management to trends before they impact multiple claims
Partner with providers to improve documentation supporting clean claims
Identify and communicate training needs that will reduce future errors
Take initiative to solve problems rather than repeatedly coding around them
Drive Quality That Prevents Downstream Revenue Problems
Catch laterality mismatches, documentation gaps, and coding errors before submission
Ensure diagnosis codes support medical necessity, preventing claim denials
Review clinical notes thoroughly to identify issues AR teams would face later
Maintain accuracy standards that eliminate costly denial and appeal work
Perform quality self-checks preventing errors that create collection obstacles
Focus on getting claims right the first time to avoid revenue cycle delays
Accelerate Charge Processing and Reduce Lag Time
Enter charges promptly, enabling timely claim submission and faster payment
Minimize charge lag that delays billing cycles and extends days to payment
Process high volume efficiently while maintaining quality standards
Prioritize work that has the greatest impact on revenue timing
Meet productivity targets supporting departmental cash flow goals
Eliminate backlogs that prevent timely revenue capture
Resolve Documentation Issues That Block Revenue
Identify missing information preventing accurate charge entry
Follow up with providers and clinical staff to obtain documentation needed for coding
Clear obstacles quickly so charges can be processed without delays
Ensure supporting documentation meets payer requirements for reimbursement
Prevent claims from aging in unbilled status due to incomplete information
Drive the resolution of documentation gaps that would cause denials
Performance Expectations
Achieve high first-pass claim acceptance rates through coding accuracy
Maintain error rates that minimize denials and collection delays
Process charges within timeframes supporting optimal cash flow
Proactively escalate recurring issues preventing future revenue loss
Meet daily productivity targets, enabling timely billing cycles
Reduce charge lag, minimizing days to claim submission
Contribute to departmental goals for clean claim rates and denial reduction
Demonstrate outcome focus by preventing problems rather than just processing tasks
Qualification
Required
2+ years of medical billing and coding experience
Strong understanding of CPT, ICD-10, and HCPCS coding systems
Proven ability to maintain high accuracy while processing high volume
Knowledge of medical terminology and clinical documentation
Attention to detail with a focus on preventing errors before submission
Proactive problem-solver who escalates issues and drives solutions
Proficiency with MS Office, Excel, and practice management systems
Preferred
CPC certification or working toward certification
Knowledge of personal injury billing and documentation requirements
Familiarity with NextGen or similar healthcare systems
Track record of high accuracy and low denial rates
Experience identifying and resolving systematic coding issues
Benefits
Comprehensive benefits: medical, dental, vision, 401(k)
Professional development support, including certification and continuing education
Company
ProCo, LLC
ProCo is a medical management company that oversees the daily operations and back-end office workings of healthcare centers across the Southeast.
201-500 employees
Funding
Current Stage
Growth StageRecent News
Hartford Business Journal
2025-06-17
Company data provided by crunchbase