Medical Billing and Coding Specialist

At VMG Health, we’re more than just a team of experts; we’re trusted partners in the business of healthcare. Backed by a team of over 300 professionals and a history of more than 70,000 engagements since 1995, we bring experience, deep and wide, to every project. Our national client base ranges from large health systems to small practices and everything in between, including investors and private equity firms. Our solutions-oriented approach to client needs is bolstered by our strong market position, extensive contacts, unparalleled tools and solutions, and expert insights. We are proud to serve as the single source for all our clients’ valuation, strategic, and compliance needs.

VMG Health is seeking a Medical Billing and Coding Specialist to handle claims coding and submission, insurance denial management, and payment processing, including Medicaid and Medicare transactions. A successful candidate will be highly detail-oriented, proficient in healthcare billing systems, and skilled at communicating with providers, patients, and team members to resolve inquiries and maintain seamless operations.

KEY RESPONSIBILITIES:

• Review coding and submit accurate claims based on patient medical records using CPT and ICD-10 coding
• Review patient medical records and assign codes to diagnoses and procedures performed
• Follow up on insurance claim denials and unprocessed claims
• Process and post payments, including Medicaid and Medicare
• Resolve outstanding receivables
• Answer inquiries from client staff and providers
•  Ensure coding complies with all federal, legal, and insurance guidelines.
• Identify and solve billing and coding issues by communicating with the appropriate parties.
• Communicate efficiently and effectively with team members and clients
• Embrace technology and automation to increase efficiency of systems and processes
• Collaborate with internal departments as needed
•  Maintain regular and reliable attendance
• Maintain a positive attitude and contribute to a positive work environment. 

QUALIFICATIONS:

Minimum Education:

• High School Diploma or GED
• Valid Certified Professional Coder Certification 

Experience:

• Minimum 3 years of medical billing and coding experience in healthcare, medical office billing, or insurance 
• Federally Qualified Health Center (FQHC), Primary Care Association (PCA) or Tribal Health Organization experience preferr

Knowledge & Skills:

• Demonstrates attention to detail and commitment to excellent work product and client service.
• Strong oral and written communication skills, demonstrating responsiveness to clients and colleagues. 
• Ability to demonstrate insight and professional judgment, with an aptitude for critical thinking.
• Maintains a positive attitude and contributes to a positive work environment.
• Takes initiative and is proactive. 
• Demonstrates intellectual curiosity and drive for continuous learning. 
• Proficient in Microsoft Office Suite and applicable software tools – electronic health record (EHR) systems.
• Strong knowledge of medical terminology, CPT, and ICD-10 coding standards.