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We are looking for a detail-oriented Medical Coder to support revenue cycle operations for a healthcare team in Pittsburgh, Pennsylvania. This Long-term Contract position focuses on accurate claim preparation, coding review, payment posting, and follow-up with payers and patients to help maintain timely reimbursement. The ideal candidate brings hands-on medical billing and coding experience, strong knowledge of payer requirements, and the ability to work collaboratively in a fast-paced clinical environment. Monday - Friday 8am-4:30pm
Job Responsibility
Examine claims before release to verify coding accuracy, completeness, and compliance with payer rules
Prepare and transmit insurance claims through electronic and manual submission channels as needed
Monitor aging accounts on a routine basis and take appropriate action to support collection targets for older balances
Investigate denied or rejected claims each day, correct issues, and pursue resolution through follow-up and appeal activity
Record insurance and patient payments, apply necessary adjustments, and maintain accurate account balances
Communicate with patients regarding billing questions and outstanding balances while following established collection practices
Identify credit balances or overpayments and process appropriate research and resolution steps
Perform coding and documentation audits, review clinical and surgical records, and provide feedback when coding does not align with supporting documentation
Stay current on insurer policy updates and coding guidance, reconcile logs and supporting records, and maintain organized claim documentation
Requirements
High school diploma or equivalent required
At least 1 year of experience in multi-specialty medical billing, with ophthalmology or optometry exposure preferred
Working knowledge of ICD-10, CPT, and outpatient coding practices
Certification in medical billing, coding, or ophthalmology coding is preferred
Ability to review medical documentation and assign codes supported by the clinical record
Strong communication skills with the ability to work effectively with providers, staff, payers, and patients
Detail-oriented approach with the ability to manage records accurately and handle multiple billing tasks efficiently
Nice to have
ophthalmology or optometry exposure preferred
Certification in medical billing, coding, or ophthalmology coding is preferred
What we offer
medical, vision, dental, and life and disability insurance