Coding and Billing Specialist

Location:

Erickson Senior Living

Join our team as a Coding and Billing Specialist. This role reviews provider documentation and claims to ensure coding accuracy, billing compliance, and adherence to regulatory requirements. Responsibilities include auditing medical coding, performing billing functions, and managing third-party billing follow-up. The specialist ensures claims submitted to Medicare, Medicaid, Railroad Retirement, Medicare Advantage, and commercial payers are accurate and compliant with payer and state-specific guidelines.

• Review claims for coding and billing accuracy, perform insurance follow-up, collections activities, and account resolution to ensure timely reimbursement.
• Investigate and resolve payer correspondence, denials, and payment discrepancies by initiating appeals, submitting corrected claims, providing supporting documentation, and responding to payer requests.
• Process cash postings, adjustments, refunds, overpayments, and credit balances in accordance with organizational policies and payer requirements.
• Maintain current knowledge of Medicare, Medicaid, commercial payer, and regulatory billing guidelines; ensure compliance with insurance requirements, licensure regulations, and CMS response deadlines.
• Document account activity accurately and consistently to support accounts receivable management and provide visibility into actions taken and next steps.
• Collaborate effectively with Medical Center Operations, Coding, Compliance, and other stakeholders while maintaining confidentiality, adapting to change, and performing other duties as assigned.

• →1+ year’s experience in coding and medical billing experience preferred
• →Podiatry specialty preferred
• →Strong written, verbal, and interpersonal communication skills.
• →Critical thinking and problem-solving abilities with strong attention to detail.
• →Proficiency in Microsoft Office Suite.
• →Working knowledge of electronic claims processing, denial resolution, reimbursement practices, and federal, state, and third-party payer requirements.
• →Certified Coding Professional-Physician (CCS-P) or Certified Professional Coder (CPC) certification is preferred.
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Headquartered in Baltimore, Maryland, Erickson Senior Living is one of the country’s largest and most respected providers of senior living and health care with a growing, national network of communities. We help people live better lives by fulfilling our promises of a vibrant lifestyle, financial stability, and focused health and well-being services for those who live and work with us. As part of our team, you'll enjoy flexibility and work-life balance to meet your personal and professional goals, and we are committed to providing you with opportunities to learn and grow.

Erickson Senior Living, its affiliates, and managed communities are Equal Opportunity Employers and are committed to providing a workplace free of unlawful discrimination and harassment on the basis of race, color, religion, sex, age, national origin, marital status, veteran status, mental or physical disability, sexual orientation, gender identity or expression, genetic information or any other category protected by federal, state or local law.