Certified Medical Billing and Coding Specialist

Job Title: Certified Medical Billing and Coding Specialist

Location: Remote

Job Type: Full-Time

Company Overview:

Flow Health is a rapidly growing clinical diagnostic laboratory services provider, leading the way in individualized, data-driven diagnostics. Based in Los Angeles, we hold both CAP accreditation and CLIA certification, uniquely positioned to combine the power of artificial intelligence (AI) with an end-to-end full service laboratory diagnostics platform. Our mission is clear: to revolutionize how clinicians and patients order and access personalized diagnostic insights, ultimately improving clinical outcomes and patient care.

Job Description:

We are seeking a highly skilled and detail-oriented Certified Medical Billing and Coding Specialist to join our laboratory team. The successful candidate will play a crucial role in ensuring accurate coding processes, contributing to the financial health of our organization. The ideal candidate should possess strong analytical skills, knowledge of medical terminology, and a deep understanding of coding principles and regulations within the diagnostic laboratory setting. The role is 100% remote, offering the applicant outstanding work flexibility.

Key Responsibilities:

• Assign appropriate codes to diagnoses, procedures, and laboratory services based on documentation provided by healthcare providers and laboratory professionals.
• Ensure compliance with all relevant coding guidelines, specifically ICD-10.
• Stay up-to-date with changes in coding regulations, payer policies, and healthcare laws relevant to diagnostic laboratory coding.
• Conduct regular audits to ensure compliance with coding and billing standards specific to diagnostic laboratory services.
• Demonstrate sound knowledge of laboratory coding guidelines and regulations to assist providers with the impact of diagnosis coding on risk adjustment payment models.
• Requires solid oral and written communication skills, and strong attention to detail.

Qualifications:

• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification is required.
• Associate’s degree in Medical Billing and Coding or related field is preferred.
• Minimum of 2 years experience in Medical Billing and Coding, ideally within a clinical or laboratory setting.
• Familiarity with Medical Billing software and claims processing systems specific to laboratory services.
• Expertise in ICD-10, with emphasis on diagnostic codes.
• Must have excellent time management skills, be highly organized, and self-motivated.