Billing and Coding Specialist - NOT REMOTE

Alcovy Neurology, Pc•Loganville, GA

23h•Onsite

About The Position

Billing and Coding Specialist is responsible for accurate coding, charge entry, claims submission, payment posting, and follow-up for a busy outpatient neurology practice. This role ensures compliance with payer regulations, maximizes reimbursement, and supports the financial health of the practice through detailed knowledge of neurology-specific coding, including E/M services, diagnostic testing, and procedures.

Requirements

High school diploma or equivalent required; Associate’s degree preferred.
Minimum 2–3 years of medical billing and coding experience required.
Strong knowledge of ICD-10, CPT, and HCPCS coding guidelines.
Familiarity with neurology-specific procedures and documentation requirements.
Proficiency with electronic health records (EHR) and practice management systems.
Excellent attention to detail and analytical skills.
Strong written and verbal communication skills.
Ability to work independently and meet deadlines in a fast-paced environment.

Nice To Haves

CPC (Certified Professional Coder) through AAPC or CCS certification through American Health Information Management Association preferred.
Prior experience in neurology or a related specialty strongly preferred.
Experience billing Medicare, Medicaid, and commercial insurance plans.

Responsibilities

Accurately assign ICD-10-CM, CPT, and HCPCS codes for outpatient neurology services.
Review provider documentation to ensure appropriate code selection and compliance.
Code and bill services including (but not limited to): Office and outpatient E/M services EMG/NCS studies EEG interpretations Botox injections for migraine and movement disorders
Ensure proper modifier usage (e.g., -25, -59, -26, -TC).
Work closely with providers to clarify documentation when needed.
Prepare and submit electronic and paper claims in a timely manner.
Monitor claim rejections and denials; research and resolve billing discrepancies.
Submit corrected claims and appeals as needed.
Verify insurance eligibility and benefits when required.
Ensure compliance with Medicare, Medicaid, and commercial payer policies.
Post insurance and patient payments accurately.
Reconcile EOBs and ERAs with submitted claims.
Identify underpayments and initiate follow-up with payers.
Monitor aging reports and pursue outstanding claims.
Communicate with insurance carriers to resolve claim issues.
Assist with patient billing inquiries when necessary.
Maintain HIPAA compliance and patient confidentiality.
Stay current on coding updates, neurology billing changes, and payer guidelines.
Assist with audits and internal compliance reviews.
Generate billing and revenue cycle reports as requested.