Medical Billing Specialist
We are looking for a detail-oriented Medical Billing Specialist to support a healthcare organization in Boca Raton, Florida on a Contract basis. This position focuses on coding accuracy, billing compliance, and reimbursement optimization through careful review of documentation and claims activity. The ideal candidate brings strong experience in E/M coding and auditing, along with the ability to work closely with providers and billing teams to improve accuracy and resolve reimbursement issues.
Responsibilities:
• Conduct secondary reviews of billing activity to confirm compliance with regulatory standards, internal procedures, and reimbursement guidelines.
• Examine clinical documentation and coded services to identify missed charges, undercoding, overcoding, or other discrepancies, and document findings in clear audit reports.
• Partner with physicians and clinical staff to clarify incomplete or unclear documentation and promote accurate coding and billing practices.
• Escalate recurring documentation concerns, coding patterns, and compliance risks to revenue cycle leadership or practice management for follow-up.
• Collaborate with billing and revenue cycle teams to support account resolution, including claim corrections, resubmissions, and follow-up tied to accounts receivable performance.
• Evaluate payer reimbursement behavior, fee schedule outcomes, denial trends, and policy changes to identify opportunities for improved revenue capture.
• Research and address questions related to coding compliance, payer requirements, denials, and appropriate billing for services rendered.
• Deliver education, guidance, and ongoing support to providers and staff on coding standards, documentation expectations, and regulatory requirements.
• Help maintain compliant billing procedures, charge tools, and related workflows while safeguarding confidential financial and medical information
Qualifications:
• Current coding certification from AAPC or AHIMA is required.• At least 5 years of experience in medical billing, coding, collections, revenue cycle support, or a closely related healthcare function.
• Demonstrated hands-on experience with E/M coding is required.
• Strong background in coding audits and documentation review.
• Working knowledge of medical claims processes, reimbursement practices, and compliance standards within a healthcare setting.
• Ability to interpret payer policies, investigate denials, and communicate effectively with providers and administrative teams.
• Experience with medical billing systems and tools, including exposure to ePACES, is preferred.
• Associate degree from an accredited institution is preferred.
Compensation
$24.70-$28.60 HourlyAbout Us
Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
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