Medical Billing and Coding Specialist

🔥 1 hour ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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VMG Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1995

🏥 Healthcare

💼 Consulting

☁️ SaaS

💰 Private equity on 2020-04

Healthcare • Consulting • SaaS

VMG Health is a healthcare-focused consulting firm with three decades of experience that provides advisory, operational, compliance, valuation, and transaction services to healthcare organizations. The firm offers M&A and transaction advisory, valuation advisory, coding audit and compliance, strategy and operational performance consulting, physician enterprise solutions, litigation and dispute resolution support, and specialized expertise in ophthalmology and eyecare. VMG also develops software and analytics products (e. g. , Compliance Risk Analyzer®, FMV-MD®, Intellimarker®) and membership programs to support client performance. The company serves clients across all 50 states, employs 300+ professionals, and recently acquired Community Link Consulting.

📋 Description

• Handle claims coding and submission, insurance denial management, and payment processing, including Medicaid and Medicare transactions. • Review coding and submit accurate claims based on patient medical records using CPT and ICD-10 coding. • Follow up on insurance claim denials and unprocessed claims. • Process and post payments, including Medicaid and Medicare. • Resolve outstanding receivables. • Answer inquiries from client staff and providers. • Ensure coding complies with all federal, legal, and insurance guidelines. • Identify and solve billing and coding issues by communicating with the appropriate parties. • Collaborate with internal departments as needed. • Maintain regular and reliable attendance and a positive attitude, contributing to a positive work environment.

🎯 Requirements

• Minimum Education: High School Diploma or GED • Valid Certified Professional Coder Certification • Minimum 3 years of medical billing and coding experience in healthcare, medical office billing, or insurance • Federally Qualified Health Center (FQHC), Primary Care Association (PCA) or Tribal Health Organization experience preferred • Strong oral and written communication skills, demonstrating responsiveness to clients and colleagues. • Proficient in Microsoft Office Suite and applicable software tools – electronic health record (EHR) systems. • Strong knowledge of medical terminology, CPT, and ICD-10 coding standards.

🏖️ Benefits

• Health insurance • Professional development opportunities