Medical Billing and Coding Specialist

Job Description

Salary: $22.50 -$27.00

Medical Billing and Coding Specialist

Classification: Non-Exempt Compensation Range: $22.50 - $27.00

Reports To: Billing POD Facilitator Supervises: N/A

Position type: Full-time Compensation structure: Hourly

About CLC:

Voted as one of the Best Places to Work in the Inland Northwest multiple times, CLC proudly offers our team members not only competitive wages and benefits, but a flexible, collaborative, and supportive high performance working environment as well. Our team members feel great about supporting our clients --which are health clinics providing health services to underserved people throughout the U.S. knowing that our work makes a real difference in peoples lives.

Work Location and Structure: Otis Orchards office; Cottage Grove Office; hybrid remote and in office; or fully remote. May require additional in office time depending upon tasks, meetings, or other requirements.

Travel: Not expected but could require travel to clients offices depending on work assignments.

CLC Culture:

At CLC, we believe that our success is deeply rooted in our shared values and culture. We cherish individuals who understand and embody these values in their everyday work. Your contribution isn't just about completing tasks; it's about embracing our core values and weaving them into every aspect of your role. We invite you to explore our core values listed below and consider how they resonate with you. Our environment encourages you to be genuine while maintaining the highest level of professionalism. Our Employee Manual serves as a guide to uphold these standards and foster a thriving work environment.

Position Overview:

The Medical Billing and Coding Specialist plays a crucial part in coding and submitting claims, addressing insurance claim denials, and handling payment processing, including Medicaid and Medicare transactions. A successful candidate will be highly detail-oriented, proficient in healthcare billing systems, and skilled at communicating with clients and team members to resolve inquiries and maintain seamless operations.

Essential Functions:

Code and submit accurate claims based on patient medical records using CPT and ICD-10 coding

Review patient medical records and assign codes to diagnoses and procedures performed

Follow up on insurance claim denials and unprocessed claims

Process and post payments, including Medicaid and Medicare

Resolve outstanding receivables

Answer inquiries from client staff and providers

Ensure coding complies with all federal, legal, and insurance guidelines.

Identify and solve billing and coding issues by communicating with the appropriate parties.

Communicate efficiently and effectively with team members and clients

Embrace technology and automation to increase efficiency of systems and processes

Collaborate with internal departments as needed

Maintain regular and reliable attendance

Other duties as assigned

Required Competencies (knowledge, skills, abilities):

Strong problem-solving and organizational abilities.

Excellent communication skills, both verbal and written

Excellent interpersonal skills

Exceptional attention to detail and commitment to data accuracy.

Strong knowledge of medical terminology, CPT, and ICD-10 coding standards.

Skilled in Microsoft Office Suite (Excel, Outlook, Word)

Proficiency in electronic health record (EHR) systems, such as eClinicalWorks and NextGen

Required Education and Experience:

High School diploma or GED

Valid Certified Professional Coder Certification

Minimum 3 years of medical billing and coding experience in a medical office billing, accounting, or insurance department or certified coursework

Federally Qualified Health Center (FQHC), Primary Care Association (PCA) or Tribal Health Organization experience preferred

Physical Requirements:

Prolonged periods sitting at a desk and working on a computer.

Must be able to lift up to 15 pounds at times.

Able to travel as needed.

Benefits:

Community Link Consulting offers a comprehensive benefits package to eligible employees. These include optional participation in our employer-paid health insurance plan (depending upon the plan you choose), voluntary dental and voluntary vision insurance, a Dental/Vision Consumer Driven Health annual benefit of $1,200, two optional FSA plans, employer-paid Life, AD&D, and Long-Term Disability insurance, which begin the 1st of the month following 30 days of employment.

Additional benefits include SIMPLE IRA and/or ROTH SIMPLE IRA program which begins the 1st of the month following 60 days of employment, as well as paid time off accruing from day one for immediate use. We also offer an Employee Assistance Program (EAP) to provide additional support. In addition to these core benefits, we provide the flexibility to work from home, home office allotment, access to IT concierge services, career development training, educational opportunities, and a collaborative and respectful workforce.

Core Values:

CLC prides itself on its Core Values, and an essential part of success at CLC is understanding and reflecting CLCs core values, which are the foundation of our culture (the way we do things). They are:

RESPECT

LEADERSHIP

SMEE (Subject Matter Expert Extraordinaire)

SOLUTION-FOCUSED

FLEXIBILITY

CURIOSITY

GIVE MORE THAN YOU GET (GMTYG)

NOTE:This position description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Duties, responsibilities, and activities may change or new ones may be assigned at any time with or without notice.

Verification Of Employment Eligibility To Work In The U.S. Is Conducted Using E-Verify

Equal Employment Opportunity Policy

Community Link Consulting, Inc. provides equal employment opportunity and treatment regardless of race, religion, color, creed, sex (including pregnancy, lactation, childbirth, or related medical conditions), sexual orientation, age (40 and over), gender identity, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics), veteran status, uniformed servicemember status or any other status protected by federal, state or local law. CLC conforms to the spirit as well as to the letter of all applicable laws and regulations. These protections extend to all management practices and decisions, including recruitment and hiring, appraisal systems, promotions, training, and career development programs.

remote work

Full-time

Hybrid remote