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We are looking for a detail-oriented Medical Billing Specialist to support a healthcare organization in Boca Raton, Florida on a Contract basis. This position focuses on coding accuracy, billing compliance, and reimbursement optimization through careful review of documentation and claims activity. The ideal candidate brings strong experience in E/M coding and auditing, along with the ability to work closely with providers and billing teams to improve accuracy and resolve reimbursement issues.
Job Responsibility
Conduct secondary reviews of billing activity to confirm compliance with regulatory standards, internal procedures, and reimbursement guidelines
Examine clinical documentation and coded services to identify missed charges, undercoding, overcoding, or other discrepancies, and document findings in clear audit reports
Partner with physicians and clinical staff to clarify incomplete or unclear documentation and promote accurate coding and billing practices
Escalate recurring documentation concerns, coding patterns, and compliance risks to revenue cycle leadership or practice management for follow-up
Collaborate with billing and revenue cycle teams to support account resolution, including claim corrections, resubmissions, and follow-up tied to accounts receivable performance
Evaluate payer reimbursement behavior, fee schedule outcomes, denial trends, and policy changes to identify opportunities for improved revenue capture
Research and address questions related to coding compliance, payer requirements, denials, and appropriate billing for services rendered
Deliver education, guidance, and ongoing support to providers and staff on coding standards, documentation expectations, and regulatory requirements
Help maintain compliant billing procedures, charge tools, and related workflows while safeguarding confidential financial and medical information
Requirements
Current coding certification from AAPC or AHIMA is required
At least 5 years of experience in medical billing, coding, collections, revenue cycle support, or a closely related healthcare function
Demonstrated hands-on experience with E/M coding is required
Strong background in coding audits and documentation review
Working knowledge of medical claims processes, reimbursement practices, and compliance standards within a healthcare setting
Ability to interpret payer policies, investigate denials, and communicate effectively with providers and administrative teams
Experience with medical billing systems and tools, including exposure to ePACES, is preferred
Associate degree from an accredited institution is preferred
What we offer
Medical, vision, dental, and life and disability insurance