Senior Medical Billing & Coding Specialist
Mitchell Martin Inc., Charlotte, NC, United States
Title:
Senior Medical Billing & Coding Specialist Location:
Charlotte, NC (Onsite) Employment Type:
Full Time Pay Range:
$50,000-$55,000 Per Year Position Summary
The Senior Medical Billing & Coding Specialist is responsible for supporting and optimizing the organization’s revenue cycle operations, with a focus on accurate coding, timely billing, and maximizing reimbursement. This role requires strong expertise in FQHC billing methodologies, payer regulations, and coding compliance, along with the ability to identify trends, resolve complex issues, and support overall revenue integrity. Key Responsibilities
Perform and review medical coding (CPT, ICD-10, HCPCS) to ensure accuracy and compliance Submit and reconcile claims in a timely manner, ensuring clean claim rates Monitor and resolve claim denials, rejections, and underpayments FQHC Reimbursement Expertise
Apply knowledge of FQHC billing requirements, including PPS/APM methodologies Ensure proper use of encounter billing, modifiers, and sliding fee scale structures Support billing for integrated services including primary care and behavioral health Accounts Receivable & Denials Management
Analyze A/R reports and aging to identify trends and areas of revenue leakage Perform root-cause analysis on denials and implement corrective actions Collaborate with internal teams to improve front-end and back-end processes Compliance & Audit Support
Ensure adherence to HRSA, Medicare, Medicaid, and payer-specific regulations Participate in internal and external audits; maintain accurate documentation Stay current on coding updates and regulatory changes Systems & Reporting
Utilize EHR/PM systems (e.g., Athena or similar) for billing, reporting, and workflow management Generate reports and provide insights to leadership on revenue cycle performance Cross-Functional Collaboration
Work closely with clinical, administrative, and finance teams to improve documentation and workflows Provide guidance and training on coding and billing best practices Qualifications
Required: 3+ years of medical billing and coding experience Strong knowledge of CPT, ICD-10, and HCPCS coding systems Experience with FQHC billing and reimbursement (PPS/APM, encounter billing) Proficiency with EHR/Practice Management systems (Athena preferred) Experience with Medicaid, Medicare, and managed care billing Strong analytical and problem-solving skills Preferred
CPC, CCS, or equivalent certification Experience in a community health or FQHC setting Familiarity with behavioral health and integrated care billing Detail-oriented with strong accuracy in coding and billing Analytical mindset with ability to identify and resolve issues Strong communication and collaboration skills Ability to manage multiple priorities in a fast-paced environment
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Senior Medical Billing & Coding Specialist Location:
Charlotte, NC (Onsite) Employment Type:
Full Time Pay Range:
$50,000-$55,000 Per Year Position Summary
The Senior Medical Billing & Coding Specialist is responsible for supporting and optimizing the organization’s revenue cycle operations, with a focus on accurate coding, timely billing, and maximizing reimbursement. This role requires strong expertise in FQHC billing methodologies, payer regulations, and coding compliance, along with the ability to identify trends, resolve complex issues, and support overall revenue integrity. Key Responsibilities
Perform and review medical coding (CPT, ICD-10, HCPCS) to ensure accuracy and compliance Submit and reconcile claims in a timely manner, ensuring clean claim rates Monitor and resolve claim denials, rejections, and underpayments FQHC Reimbursement Expertise
Apply knowledge of FQHC billing requirements, including PPS/APM methodologies Ensure proper use of encounter billing, modifiers, and sliding fee scale structures Support billing for integrated services including primary care and behavioral health Accounts Receivable & Denials Management
Analyze A/R reports and aging to identify trends and areas of revenue leakage Perform root-cause analysis on denials and implement corrective actions Collaborate with internal teams to improve front-end and back-end processes Compliance & Audit Support
Ensure adherence to HRSA, Medicare, Medicaid, and payer-specific regulations Participate in internal and external audits; maintain accurate documentation Stay current on coding updates and regulatory changes Systems & Reporting
Utilize EHR/PM systems (e.g., Athena or similar) for billing, reporting, and workflow management Generate reports and provide insights to leadership on revenue cycle performance Cross-Functional Collaboration
Work closely with clinical, administrative, and finance teams to improve documentation and workflows Provide guidance and training on coding and billing best practices Qualifications
Required: 3+ years of medical billing and coding experience Strong knowledge of CPT, ICD-10, and HCPCS coding systems Experience with FQHC billing and reimbursement (PPS/APM, encounter billing) Proficiency with EHR/Practice Management systems (Athena preferred) Experience with Medicaid, Medicare, and managed care billing Strong analytical and problem-solving skills Preferred
CPC, CCS, or equivalent certification Experience in a community health or FQHC setting Familiarity with behavioral health and integrated care billing Detail-oriented with strong accuracy in coding and billing Analytical mindset with ability to identify and resolve issues Strong communication and collaboration skills Ability to manage multiple priorities in a fast-paced environment
#J-18808-Ljbffr