Medical Billing and Coding Specialist Job Description Template

Job title

Medical Billing and Coding Specialist

Job summary

[Company name] is seeking a dependable medical billing and coding specialist to join our team in [city, state]. In this role, you will review physician notes, operative reports and other documentation, assign ICD-10-CM diagnosis codes and CPT/HCPCS procedure codes and support our team’s commitment to safety, quality and service.

Responsibilities

• Review physician notes, operative reports and other documentation
• Assign ICD-10-CM diagnosis codes and CPT/HCPCS procedure codes
• Apply modifiers and check codes against payer and NCCI edits
• Prepare and submit claims electronically through a clearinghouse
• Post payments and review explanations of benefits
• Investigate and appeal denied or underpaid claims
• Query providers when documentation is unclear and protect patient privacy
• Follow company policies, safety procedures and applicable regulations

Required qualifications

• Postsecondary nondegree award or equivalent training
• Working knowledge of icd-10-cm diagnosis coding and cpt and hcpcs level ii procedure coding
• Attention to detail and analytical thinking
• [Add role-specific requirements, such as driver’s license or ability to pass a background check, if job-related]

Preferred qualifications

• CPC (AAPC)
• CCA or CCS (AHIMA)
• CPB (AAPC)
• Experience with encoder software such as 3M or Optum EncoderPro

Skills

• Medical terminology and anatomy
• Claims submission and denial management
• Payer rules and modifiers
• HIPAA compliance
• Self-discipline for remote work
• Clear written communication with providers

Work environment and schedule

Medical billers and coders work for hospitals, physician practices, billing companies, insurance companies and outsourcing firms. The work is computer-based and sedentary. Many experienced coders work remotely full time. Usually full-time weekday hours. Remote and flexible schedules are common once you have experience and meet productivity and accuracy standards.

Pay and benefits

$[min]–$[max] per [hour/year], depending on experience. [List benefits: health insurance, paid time off, retirement plan, training and certification support.]

Equal opportunity

[Company name] is an equal opportunity employer. We consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status or any other characteristic protected by law, and we provide reasonable accommodations upon request.