Healthcare Billing and Coding Expert

1 week ago


Dallas, Texas, United States Prism Health North Texas Full time
Position Overview

Company: Prism Health North Texas

Position Title: Billing & Coding Specialist

Role Summary:
The Billing & Coding Specialist plays a crucial role in overseeing the charge capture, coding, billing, and reimbursement processes within a diverse healthcare environment. This position is essential for ensuring precision and promptness in the claims submission workflow.

Key Responsibilities:

  • Charge Capture: Convert completed patient visits into claims for medical, dental, and behavioral health services.
  • Claims Review: Ensure the accuracy and completeness of claims coding prior to submission.
  • Claims Management: Scrutinize and submit claims, track and refile any rejected claims.
  • Denial Management: Investigate and resolve claim denials, and prepare necessary appeals.
  • Compliance Oversight: Conduct coding and billing compliance assessments and deliver training as needed.
  • EHR Support: Engage in Electronic Health Record implementation and troubleshooting activities.
  • Financial Monitoring: Oversee billing software dashboards and assess accounts receivable.
  • Collaboration: Work closely with clinic leadership, healthcare providers, and external billing services.
  • Professional Communication: Exhibit professionalism in all interactions with both internal and external stakeholders.

Essential Skills & Qualifications:

  • Certification in Medical and/or Dental Coding is mandatory.
  • Proven experience in coding and billing within an outpatient healthcare setting.
  • Familiarity with medical, behavioral health, and/or dental billing practices.
  • Competence in MS Word, Excel, and Electronic Health Records.
  • Excellent written and verbal communication abilities.
  • Strong technical knowledge and business insight.

Educational Background and Experience:

  • A High School Diploma or equivalent is required; an Associate or Bachelor's degree is preferred.
  • Experience in a Federally Qualified Health Center (FQHC) is advantageous.
  • Familiarity with Ryan White and/or Title V funding is a plus.


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