About the Opportunity
A new interventional pain medicine clinic is seeking an experienced certified coder/biller to build and manage its revenue cycle from the ground up. This is a hands-on role working directly with the physician and covering the full cycle from patient scheduling through final payment.
Key Responsibilities
- Verify patient insurance eligibility and benefits before visits and procedures
- Obtain and track prior authorizations for office visits, diagnostic imaging, and interventional procedures
- Communicate financial responsibility to patients before services
- Assign accurate CPT, ICD-10-CM, and HCPCS codes for E/M services and interventional procedures
- Review physician documentation for completeness and compliance and provide feedback as needed
- Apply payer policies, LCD/NCD requirements, modifier guidelines, and CCI bundling edits
- Submit clean claims electronically to all payers
- Post payments, adjustments, and ERAs/EOBs accurately and in a timely manner
- Reconcile deposits and maintain accurate account balances
- Work denials and rejections, identify root causes, and submit appeals as needed
- Monitor aging reports and follow up on outstanding claims
- Track trends and recommend process improvements
- Respond to patient billing questions professionally and empathetically
- Set up payment plans and manage patient statements and collections
- Maintain confidentiality and HIPAA compliance
Requirements & Qualifications
Qualifications
Required
- Current coding certification (CPC, CCS, or equivalent)
- At least 3 years of experience in medical coding and billing
- Working knowledge of the full revenue cycle
- Strong knowledge of CPT, ICD-10-CM, HCPCS, and modifier usage
- Experience with prior authorizations and payer-specific requirements
- Proficiency with EHR and practice management systems
- Excellent attention to detail, organization, and communication skills
- Ability to work independently and manage multiple priorities
Preferred
- Pain management or interventional pain billing experience
- Experience supporting a new practice or start-up
Benefits & Perks
What We Offer
- Competitive salary
- Benefits package
- Opportunity to build a revenue cycle program from the ground up
- Direct collaboration with the physician in a supportive, growing practice
Location
Kansas, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 week ago
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