Location: Tucsonย
Employment Type: Full-Time
Schedule: Monday โ Friday
Our multi-location healthcare organization is seeking a highly organized professional who understands both medicalย billing/coding and provider credentialing and can support operational improvements within the revenue cycle.
Position OverviewThe Medical Biller / Coder & Credentialing Specialist will manage key functions of the revenue cycle including coding accuracy, claims processing, payer credentialing, denial management, and provider enrollment.
This role works closely with providers, leadership, and clinical teams to ensure accurateย billing, compliance with payer requirements, and efficient reimbursement processes.
Key ResponsibilitiesMedical CodingReview provider documentation and assign accurate ICD-10, CPT, and HCPCS codes
Ensure coding complies with payer regulations and industry guidelines
Identify documentation gaps and communicate with providers when clarification is required
Support coding compliance and documentation improvement
Claims &ย BillingPrepare and submit electronic claims through the practice management system
Monitor claim status and follow up on unpaid or denied claims
Investigate claim rejections and coordinate corrections with staff
Work with clearinghouses and insurance payers to resolveย billingย issues
Revenue Cycle ManagementMonitor and manage accounts receivable
Track aging reports and follow up on outstanding balances
Investigate underpayments and payer discrepancies
Support efforts to improve clean claim rate and reduce days in A/R
Provider Credentialing & EnrollmentManage provider credentialing and recredentialing with commercial and government payers
Maintain provider enrollment records and credentialing documentation
Track credentialing timelines and renewal deadlines
Coordinate payer enrollment applications and updates
Ensure provider information is accurately reflected in payer systems
Work with leadership and providers to ensure timely credentialing during onboarding
Compliance & QualityMaintain compliance withย billingย regulations and payer policies
Support internalย billingย and coding audits
Ensure HIPAA compliance and protection of patient data
Reporting & Operational Support
Generateย billing, collections, and credentialing status reports
Identify opportunities to improveย billingย workflows and revenue cycle performance
Collaborate with leadership to improve operational efficiency
QualificationsRequired
Minimum 3 years experience in medicalย billing, coding, or revenue cycle management
Experience with provider credentialing and payer enrollment
Strong knowledge of ICD-10, CPT, and HCPCS coding
Experience working with insurance payers and claim follow-up
Strong attention to detail and organizational skills
Preferred CPC, CCS, or equivalent coding certification
Experience in dermatology or outpatient specialty practices
Experience with Modernizing Medicine (ModMed EMA) or similar EMR systems
Knowledge of dermatology procedures, Mohs surgeryย billing, or cosmetic services
Key CompetenciesStrong analytical and problem-solving abilities
Excellent attention to detail
Ability to manage multiple priorities and deadlines
Strong communication skills with clinical and administrative teams
Commitment to compliance andย billingย accuracy
What We OfferCompetitive compensation based on experience
MondayโFriday work schedule
Professional and collaborative work environment
Opportunity to support and improve revenue cycle operations within a growing healthcare organization
Powered by JazzHR
r4KjaZACZY