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We are looking for a detail-oriented Medical Billing Specialist to support a healthcare organization in Boca Raton, Florida. This Contract position will focus on coding accuracy, billing compliance, and reimbursement optimization while partnering with providers and revenue cycle teams. The ideal candidate brings strong experience in E/M coding, medical record auditing, and payer guideline interpretation within a regulated clinical environment.
Job Responsibility:
Conduct secondary reviews of billing activity to confirm coding accuracy, regulatory compliance, and appropriate reimbursement outcomes
Examine clinical documentation to identify coding variances, prepare audit findings, and educate providers on documentation improvement opportunities
Collaborate with physicians and care teams to clarify incomplete or conflicting chart details and resolve documentation questions affecting claims
Escalate recurring documentation concerns, coding risks, and reimbursement patterns to revenue cycle leadership and practice management
Partner with billing and revenue staff to support account follow-up, claim corrections, and resubmissions that improve accounts receivable performance
Evaluate payer behavior, reimbursement trends, and policy updates to identify issues that may affect billing results or compliance
Investigate denials, coding questions, and billing-related inquiries, then provide clear guidance based on payer rules and compliance standards
Deliver training and day-to-day support to providers and less experienced staff on coding requirements, documentation standards, and regulatory expectations
Assist with updates to charge documents, workflows, and related procedures to maintain alignment with organizational and payer requirements
Protect the confidentiality of patient and financial information while completing assigned billing, coding, and audit activities.
Requirements:
At least 5 years of experience in medical billing, coding, collections, claims, or a closely related healthcare revenue cycle function
Demonstrated hands-on expertise with Evaluation and Management (E/M) coding
Proven experience performing documentation and coding audits in a healthcare setting
Strong understanding of payer policies, reimbursement methods, claim denials, and compliance requirements
Working knowledge of medical billing, medical coding, medical collections, medical claims, and ePaces
Current coding certification from a recognized accrediting organization is required.
What we offer:
medical, vision, dental, and life and disability insurance