Medical Billing/Claims/Collections

Contract Medical Billing/Claims/Collections Specialist

Location: Remote, Northeast Ohio (Canton, OH-Based)

We are seeking a detail-oriented and experienced Medical Billing/Claims/Collections Specialist to join our talented team on a contract basis. This role is critical for ensuring accurate coding processes, maintaining compliance with revenue integrity standards, and optimizing charge capture workflows. Although this position is fully remote, candidates must reside within the Northeast Ohio area to foster seamless collaboration with local teams and stakeholders. A coding certification is preferred to demonstrate expertise in industry standards and best practices.

Responsibilities:

• Accurately assign diagnostic and procedural codes for outpatient and inpatient billing to guarantee precise charge capture.
• Conduct coding audits to identify missing documentation or discrepancies impacting revenue generation.
• Ensure consistent compliance with coding and reimbursement guidelines while adhering to relevant industry standards.
• Educate healthcare providers on coding specificity and quality indicators to enhance documentation accuracy and streamline workflows.
• Track and report open encounters and zero charges proactively to relevant personnel.
• Collaborate with department leaders, healthcare providers, and organizational leadership to address coding concerns or identify optimization opportunities.
• Meet or exceed established productivity and quality benchmarks for coding tasks.
• Support revenue cycle and clinical teams in performing additional administrative functions as required.
• Stay current with coding policies, guidelines, and healthcare industry trends to uphold best practices.
• Utilize hospital software applications and Microsoft Office tools effectively to accomplish daily responsibilities with efficiency.

Preferred Qualifications:

• A coding certification (e.g., CPC, CCS, or equivalent) is strongly preferred.
• Proven experience in medical billing, claims, and collections.
• Expertise in diagnostic and procedural coding, coupled with familiarity with audit processes and revenue cycle optimization.
• Knowledge of relevant coding guidelines and reimbursement policies.
• Strong communication skills and an ability to work collaboratively with healthcare professionals and cross-functional teams.
• Proficient in healthcare software applications and Microsoft Office Suite.

Why Join Us?

This opportunity allows you to contribute to the smooth operation of a respected healthcare organization while working in a flexible remote environment. Be a part of a dynamic environment with a mission to make healthcare administration seamless and efficient.

Apply now to make an impact in the healthcare industry while showcasing your skills and expertise.

Want to build your career in healthcare?

• At least one year of coding experience in a physician office or outpatient hospital setting.
• Familiarity with diagnostic and procedural coding systems, with abstraction experience preferred.
• Knowledge of accounts receivable processes and their impact on revenue cycles.
• Proficiency in Microsoft Office and hospital software applications.
• Strong organizational and time management skills to handle multiple priorities.
• Ability to communicate effectively with diverse stakeholders, including providers and leadership.
• Detail-oriented approach to ensure accuracy in coding and documentation.
• Additional certifications in medical coding or billing are a plus.