Medical Biller / Coder, Medical Clinics, Full Time - JR31-1

Medical Clinic Biller/CoderNorthwest Florida Community Hospital is seeking a detail-oriented and experienced Medical Clinic Biller/Coder to join our team. This position is responsible for accurate coding, billing, and claims processing for clinic services to ensure timely reimbursement and compliance with federal regulations and payer requirements. The ideal candidate will have strong knowledge of medical terminology, coding systems, and insurance billing procedures.Responsible for all activities in the Clinic accounts receivable function. Manages billing and collection activities such as sending follow-up inquiries, negotiating with past due accounts, and referring accounts to collection agencies. Codes and sequences all diagnoses and procedures using established ICD-10-CM coding rules for each patient encounter; coding will be subject to accuracy and productivity rates as determined by department manager. Maintains accurate records. Audits methods and procedures of accounts receivable function to improve efficiency and cash flow. Ensure maximum cash collection and consistent cash flow.Key Responsibilities:Assign appropriate ICD-10, CPT, and HCPCS codes for clinic services and proceduresPrepare and submit insurance claims to commercial payers, Medicare, and MedicaidReview patient charts and documentation to ensure accurate coding and complianceResolve billing discrepancies, claim rejections, and denials in a timely mannerFollow up on outstanding accounts receivable and unpaid claimsEnsure compliance with HIPAA regulations and healthcare billing guidelinesCommunicate with providers, clinic staff, and insurance companies regarding billing questionsMaintain up-to-date knowledge of coding updates and regulatory changesAssist with patient billing questions and payment processing when neededSupport the clinic revenue cycle process to promote accurate and timely reimbursementMinimum Qualifications:High school diploma or equivalent requiredMinimum 1–2 years of medical billing and/or coding experience, preferably in a clinic or physician practice settingKnowledge of ICD-10, CPT, and HCPCS coding systemsExperience working with electronic medical records (EMR) and billing systemsStrong attention to detail and organizational skillsAbility to manage multiple tasks and meet deadlines in a fast-paced environmentEducation, Licenses, Certifications and/or Registrations:Certification such as CPC (Certified Professional Coder), CCS, or CBCS preferredExperience with Medicare, Medicaid, and commercial insurance billingKnowledge of medical terminology and anatomySchedule: Full-time position. Monday – Friday, day shift.Work Environment: This position is based in a hospital setting and requires frequent computer use, reviewing medical documentation, and communicating with staff and patients.Work Remotely: NoPerks for our team:401K with employer matchMedical, dental, vision, and life insuranceFREE Services with NFCH ProvidersA generous PTO planCompetitive payHealth and Wellness Discounts*Details outlining program specifics are available upon requestPay:Based on years’ of experienceBenefits:401(k)401(k) matchingDental insuranceEmployee assistance programHealth insuranceLife insurancePaid time offVision insuranceThis description is intended to provide only basic guidelines for meeting job requirements.

Responsibilities, knowledge, skills, abilities, schedule, and working conditions may change as needs evolve.Northwest Florida Community Hospital is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Northwest Florida Community Hospital are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. Northwest Florida Community Hospital will not tolerate discrimination or harassment based on any of these characteristics. We encourage applicants of all ages.In addition, as part of our commitment to quality and excellence, Northwest Florida Community Hospital will continue to maintain a safe, healthy environment for you by requiring all applicants, who are tentatively selected for a position, to submit to a criminal history check and screening for illegal drug use prior to appointment for a job.Final confirmation of any job offer will be contingent upon the successful completion of all pre-employment requirements, including a pre-employment drug screening and background screening. Failure to submit to either screening, falsification of any screening information, or a positive finding on a drug test will result in removal from consideration for employment for a period of one year.