Billing and Medical Coding Specialist

The Billing and Coding Specialist  helps support provider chart notes review of CPT codes and diagnoses. They are also responsible for entering the billing information and submitting invoices to deliver a best in class customer support experience. This is a full time position that is fully remote.

What you’ll be doing: 

• Responsible for entering the billing information and submitting invoices
• Properly code medical services, diagnosis such as CPT and diagnosis codes based on provider notes up to including analyzing chart notes and identifies documentation deficiencies 
• Serves as a resource and subject matter expert with coding 
• Provide billing support by reviewing, researching, investigating, re-submitting, re-processing and adjusting claims.
• Own ad hoc operational projects as needed by the Billing Manager

What success looks like in this role:

• Applies up-to-date knowledge of medical coding guidelines (e.g., ICD-10, CPT, HCPCS) to ensure compliance and accuracy
• Correctly identifies and assigns codes based on thorough understanding of medical records and payer requirements
• Completes data entry and coding assignments within established deadlines
• Ensures all data is entered and coded with a high degree of precision, minimizing errors and rework
• Maintains clear communication with team members and supervisors regarding project progress and challenges
• Collaborates effectively with departments like billing and quality assurance to resolve coding discrepancies and ensure accurate and compliant documentation
• Achieves or exceeds key performance indicators, such as error rate, productivity benchmarks, and coding accuracy
• Adheres strictly to data privacy and confidentiality protocols (e.g., HIPAA compliance)

What we expect from you: 

• Certification from the American Academy of Professional Coders (AAPC)
• > 2 years  of experience as a medical billing and coding specialist
• Knowledge of Codes like CPT, ICD-10, and HCPCS
• Knowledge of medical terminology and basic math
• Strong written and verbal communication skills with a patient-centric tone. 
• Hyper-organized and attentive to all angles of a given problem
• Creative and analytical thinking
• Maintaining a positive, empathetic, and professional attitude toward members at all times.
• Interpersonal and customer service skills
• Responding promptly to member inquiries 
• Experience with Google Sheets a plus
• Demonstrates adaptability to frequent process updates and changes

The target base salary range for this position is $62,500 - $77,250, and is part of a competitive total rewards package including stock options and benefits. Individual pay may vary from the target range and is determined by a number of factors including experience, location, internal pay equity, and other relevant business considerations. We review all employee pay and compensation programs annually using Radford Global Compensation Database at minimum to ensure competitive and fair pay. 

Benefits provided by Spring Health:

Note: We have even more benefits than listed here and below, your recruiter will provide more in-depth information as you continue in the interview process. Benefits are subject to individual plan requirements and eligibility criteria.

• Health, Dental, Vision benefits start on your first day at Spring. You and your dependents also receive access to One Medical accounts HSA and FSA plans are also available, with Spring contributing up to $1K for HSAs, depending on your plan type.
• Employer sponsored 401(k) match of up to 2% for retirement planning
• A yearly allotment of no cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents.
• We offer competitive paid time off policies including vacation, sick leave and company holidays.
• We offer parental leave up to 18 weeks, depending on your eligibility including tenure and medical situation.
• Access to Noom, a weight management program—based in psychology, that’s tailored to your unique needs and goals. 
• Access to fertility care support through Carrot, in addition to $4,000 reimbursement for related fertility expenses.
• Access to Wellhub,  which connects employees to the best options for fitness, mindfulness, nutrition, and sleep in one subscription
• Access to BrightHorizons, which provides sponsored child care, back-up care, and elder care
• Up to $1,000 Professional Development Reimbursement a year.
• $200 per year donation matching to support your favorite causes.