Specialized Medical Billing is looking for a Certified Medical Billing Coder (CPC, CMC, or CCS) and/or Billing Specialist to join our team. MUST be located in the state of OHIO. Out of state applicants will not be considered. Not a remote position.

This is an in-office position and out of state resumes will not be reviewed.

Part-time or Full-time positions available.

No weekends or evenings as part of your regular shift. Flexible schedule available.

Benefits offered including disability and Paid Time Off after initial employment period.

We are seeking an experienced Certified Medical Coder and/or Medical Billing Specialist to support accurate coding, timely charge entry, and compliance with payer and federal guidelines.

Key Responsibilities for Billing Specialist:

Verify patient insurance eligibility, benefits, and authorizations
Review clinical documentation for accuracy and completeness
Enter charges and create claims using ICD-10, CPT, and HCPCS codes
Submit electronic and paper claims to commercial, Medicare, and Medicaid payers
Post payments, adjustments, and patient responsibility from EOBs/ERAs
Identify, research, and resolve claim rejections and denials
Prepare and submit corrected claims and appeals as needed
Perform consistent A/R follow-up on unpaid and underpaid claims
Communicate with insurance carriers to resolve billing discrepancies
Respond to patient billing inquiries professionally and accurately
Ensure compliance with payer guidelines, HIPAA, and billing regulations
Maintain detailed documentation of all account activity
Generate and review billing and A/R reports
Collaborate with coding, front desk, and clinical staff to resolve issues

Key Responsibilities for Coding Specialist:

Review medical records and physician documentation to assign accurate CPT, ICD-10-CM, and HCPCS codes
Ensure coding meets payer, CCI, and federal compliance guidelines
Enter charges within 24–48 hours of complete documentation
Append appropriate modifiers and re-code denied or incorrect claims
Identify missing charges and ensure all services are entered by month-end
Communicate with physicians, office managers, and staff regarding coding or billing questions
Audit charts for accuracy, compliance, and optimal reimbursement
Maintain strict HIPAA compliance

Qualifications:

CPC, CCS, CPB, or equivalent certification required for coder
Experience with EMR/EHR systems and Microsoft Outlook
Strong attention to detail and ability to meet deadlines
Excellent communication and organizational skills

Specialty coding experience a plus.

Experience:

ICD-10: 3 years (Preferred)

Work Location: In person (Worthington, Ohio). Not a remote position.

Medical Coding & Billing Specialist