Medical Billing and Coding Specialist

Job Description

Location: Raleigh, NC

We are seeking a skilled and detail-driven Medical Billing and Coding Specialist to join a growing healthcare organization in Raleigh, NC. This is a hybrid role, requiring 4 days onsite each week. The successful candidate will play a critical role in ensuring accurate billing, coding, and reimbursement for medical services. We’re looking for someone with deep expertise in ICD-10 and CPT coding, a sharp eye for detail, and a proactive mindset when it comes to solving billing issues and keeping revenue flowing.

Responsibilities:

• Accurately review, interpret, and code medical records and documentation using ICD-10, CPT, and HCPCS codes.
• Submit and follow up on insurance claims to ensure timely reimbursement from government and commercial payers.
• Monitor and manage claim denials, rejections, and appeals to maximize revenue.
• Verify patient insurance coverage and eligibility prior to services being rendered.
• Work closely with clinical staff to clarify documentation and resolve coding or billing discrepancies.
• Maintain compliance with HIPAA, payer-specific guidelines, and current billing and coding regulations.
• Generate billing reports, track outstanding claims, and support monthly reconciliation processes.
• Assist with audits and internal reviews to ensure coding accuracy and regulatory compliance.
• Keep current with industry updates and coding best practices through ongoing education and training.

Qualifications:

• High school diploma or equivalent required; associate degree in healthcare administration or related field preferred.
• Minimum of 2 years of experience in medical billing and coding, preferably in a clinical or hospital setting.
• Certification from an accredited program (e.g., CPC, CCS, or equivalent) strongly preferred.
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems and insurance billing procedures.
• Experience working with electronic medical records (EMR) and billing software.
• Detail-oriented with strong analytical, organizational, and time management skills.
• Excellent verbal and written communication skills.
• Ability to handle confidential information with discretion and professionalism.

Schedule & Work Environment:

• Hybrid Schedule: 4 days onsite, 1 day remote
• Hours: Monday – Friday, 8:00 AM to 5:00 PM

Salary Range: The salary range for this position is $47,000 –  $60,000 a year ($23.00 – $29.00 per hour), based on experience. 

Interview Process:

• Initial Screening Call with TalentLNX
• Zoom Interview with Revenue Cycle Management
• Final Onsite Interview with Hiring Manager

Equal Opportunity Employer: TalentLNX is committed to equal employment opportunity and prohibits discrimination and harassment of any kind. We are dedicated to building a diverse workforce and fostering an inclusive work environment where all employees and candidates are treated with respect and dignity. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or any other protected status under applicable law. We actively seek to recruit, develop, and retain talented individuals from diverse backgrounds, and we encourage all qualified candidates to apply for our job opportunities.