Coding and Billing Specialist

Billing & Claims Execution:

• Submit clean, timely claims with accurate codes and modifiers.
• Track and resolve denials and underpayments with follow-up.
• Validate eligibility and proper billing pathways.

Coding & Documentation Optimization:

• Review provider documentation and assign accurate codes.
• Identify and escalate incomplete documentation.
• Educate providers to drive documentation improvement.

Cross-Team Workflow Ownership:

• Maintain the internal billing rules matrix.
• Collaborate to track claim trends and documentation compliance.
• Partner to align workflows with payer requirements.