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First Fertility · 17 hours ago

CBO Billing Specialist

Rocky Hill, CT

Full-time

Hybrid

Entry, Mid Level

2+ years exp

First Fertility is a growing leader in fertility care, seeking a dynamic Billing/CPC certified professional coder to join their team. The role involves assigning codes to diagnoses and procedures, ensuring accuracy and compliance with regulations, and working closely with clinic staff and management on billing processes.

FertilityHealth CareMedical

Responsibilities

Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) HCPCS (Healthcare Common Procedure Coding System) and CPT (Current Procedural Terminology) codes

Make judicious decisions on which codes to assign in each instance and function to a high level of accuracy

Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations

Work with the clinic staff to ensure the charges are billed to the responsible party as needed

Communicate with other clinical staff regarding documentation

Search for information in cases where the coding is complex or unusual

Review charts as needed to ensure coding accuracy

Ensuring compliance with medical coding and policies

Responsible for working directly with other team members on appeals and denials from insurance payors

Understand and bill both professional and facility claims

Ability to process a high volume of claims accurately

Will work directly with department manager, clinic and other billing staff

Preparing reports as requested by management team

This position is full time covering the coding/billing of a multi-location practice. This is a hybrid/remote position

The duties and responsibilities described are not a comprehensive list and additional tasks may be assigned to the employee from time to time

Qualification

CPC certificationMedical coding experienceICD-10 familiarityAnatomy knowledgeExcel proficiencyCustomer service skillsComputer systems knowledgeOral communicationWritten communicationTeamwork