The Medical Billing and Coding Specialist is responsible for managing the end-to-end medical billing and coding process. This role ensures accurate submission of claims to maximize reimbursement and minimize denials. The ideal candidate brings expertise in medical billing, coding, and insurance follow-up, with attention to detail, familiarity with coding software, and an understanding of industry regulations.

Key Responsibilities:
Review, code, and process medical records using ICD-10, CPT, and HCPCS codes, ensuring accuracy and compliance with payer-specific guidelines.
Conduct audits on coding accuracy and billing submissions to maintain data quality.
Process claim submissions, adjustments, and resubmissions as needed, focusing on reducing rejection rates.
Resolve discrepancies, denials, and unpaid claims by coordinating directly with insurance providers, patients, and healthcare teams.
Stay current with coding changes, insurance regulations, and compliance requirements to reduce errors and improve billing efficiency.
Support training for billing and coding staff on coding updates, and company policies.

Qualifications:
Certification: CPC (Certified Professional Coder), CCS (Certified Coding Specialist), or equivalent certification required.
Technical Skills: Proficient in EMR and billing software (e.g., EPIC, Cerner, or other systems), Microsoft Office Suite, and coding software.
Knowledge: Understanding of ICD-10, CPT, and HCPCS coding; Medicare and Medicaid billing requirements; payer-specific guidelines; and HIPAA regulations.
Attention to Detail: Analytical skills and attention to detail, with the ability to identify and correct errors proactively.
Communication Skills: Effective written and verbal communication skills to collaborate with healthcare providers, insurers, and team members.

What We Offer:
Competitive salary with performance incentives
Health, dental, and vision insurance
401(k) with company matching
Professional development opportunities
A collaborative and supportive work environment

EEO/AA Employer/Vet/Disabled.

The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf

The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf

For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.

We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.

AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf

We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.