Description:
This is a unique opportunity to collaborate with a growing agency and shape its foundation. The Medical Billing & Coding Expert will be key in designing workflows, selecting tools and software, ensuring compliance, and providing strategic guidance to set up our operations for success.
Responsibilities
- Conduct a comprehensive assessment of the agency's setup needs and objectives.
- Develop and document end-to-end workflows for medical billing and coding processes.
- Recommend and assist in implementing the best billing and coding software and tools.
- Ensure compliance with HIPAA regulations and industry standards.
- Train initial staff on medical billing and coding best practices.
- Provide guidance on client onboarding, claim submission, and denial management.
- Share insights on payer rules, reimbursement strategies, and industry trends.
Qualifications
- 5+ years of experience in Medical Billing and Coding, with expertise in revenue cycle management.
- Certifications such as CPC, CCS, or CMRS are required.
- Proven track record of setting up or managing medical billing and coding operations.
- In-depth knowledge of ICD-10, CPT, HCPCS codes, and payer-specific guidelines.
- Familiarity with leading billing software (e.g., Kareo, AdvancedMD, or similar).
- Excellent communication and organizational skills.