Southeast Healthcare ยท 12 hours ago
Billing & Coding Specialist
Southeast Healthcare is seeking a detail-oriented Billing & Coding Specialist to support accurate medical coding and overall revenue cycle operations within their FQHC. This role involves reviewing and assigning medical codes to ensure compliance, accuracy, and timely reimbursement while collaborating closely with clinical and revenue cycle teams.
DentalHealth CareHospitalityMental HealthPrimary and Urgent Care
Responsibilities
Review clinical documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes for diagnoses and procedures
Ensure codes are properly sequenced and compliant with federal, state, and payer regulations, including Medicare and Medicaid requirements
Communicate with providers and clinical staff to clarify or obtain necessary documentation
Research and resolve complex or unusual coding scenarios using current coding resources and guidelines
Review patient charts and related documentation for completeness, accuracy, and compliance
Maintain current knowledge of coding updates, guidelines, and regulatory changes to ensure all codes used are current and active
Support the Revenue Cycle Management team as needed to address claim issues, denials, and audits
Qualification
Required
Associate degree in Health Information Management or Medical Billing & Coding required
Coding certification (CPC) with at least 2+ years of coding experience required
Experience with insurance claims submission, payment posting, and denial management
Familiarity with Medicare, Medicaid, and commercial payer regulations
Proficiency in electronic health record (EHR) systems and billing software
High attention to detail with strong analytical and problem-solving skills
Ability to manage multiple priorities and meet deadlines in a fast-paced environment
Strong written and verbal communication skills
Preferred
Familiarity with FQHC's, behavioral health coding, and add-on modifiers strongly preferred
Company
Southeast Healthcare
Southeast Healthcare provides mental health, primary care, dental, alcohol and drug, vocational, housing, and homeless services.