Medical Billing

2 days ago

Miami, Florida, United States Pinnacle Wound Management Full time
Job Title: Medical Billing & Coding Specialist
Company: Pinnacle Wound Management
Employment Type: Full-Time
Location: This is an on-site location in Miami, FL
About Us:
At Pinnacle Wound Management, we are dedicated to improving the lives of patients through high-quality wound care delivered by expert physicians, nurse practitioners, and physician assistants. As a growing leader in this specialized healthcare field, we're looking for a detail-oriented and proactive Medical Billing & Coding Specialist to join our administrative team and ensure accurate, timely, and compliant billing operations.
Position Overview:
The Medical Billing and Coding Specialist will be responsible for reviewing clinical documentation, assigning appropriate diagnostic and procedural codes, and submitting claims to insurance companies. This role plays a vital part in our revenue cycle and overall patient experience.

Key Responsibilities:

  • Review and accurately code medical procedures, diagnoses, and treatments using ICD-10, CPT, and HCPCS codes

  • Prepare and submit clean claims to insurance companies both electronically and by paper

  • Follow up on unpaid or rejected claims and resolve billing issues

  • Ensure compliance with HIPAA and other federal regulations

  • Collaborate with clinical staff to clarify documentation and improve coding accuracy

  • Maintain up-to-date knowledge of billing regulations and payer guidelines

Qualifications:

  • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent required

  • 2+ years of medical billing and coding experience (specialty experience a plus)

  • Strong knowledge of insurance guidelines, including Medicare and Medicaid

  • Proficiency with electronic medical records (EMR) and billing software

  • Excellent attention to detail and organizational skills

  • Ability to handle confidential information with discretion

Why Join Us?

  • Opportunity to be part of a mission-driven team making a direct impact on patient care.

  • Supportive and collaborative work environment.

  • Competitive salary and benefits package.


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