Medical Billing and Coding Specialist Location: Hybrid remote in Leominster, MA

Overview:

We are seeking a detail-oriented and experienced Billing & Certified Medical Coder to join our Allergy & Asthma practice. This role is responsible for accurate medical coding, timely claim submission, payment posting, denial management, and ensuring compliance with payer and regulatory requirements. Experience in allergy, immunology, and asthma-related billing is strongly preferred. This is a Hybrid position located in Leominster, Massachusetts and requires weekly in-office duties.

Responsibilities:

Medical Coding

Accurately assign CPT, ICD-10-CM, and HCPCS codes for allergy and asthma services
Code office visits, diagnostic testing, procedures, and treatments including:
Allergy skin testing (e.g., 95004–95075)
Immunotherapy injections (e.g., 95115, 95117)
Allergy serum preparation (e.g., 95165)
Pulmonary function testing (e.g., spirometry)
Asthma and allergy-related E/M services
Biologic medications and injections (e.g., Xolair, Dupixent, Nucala, Fasenra)
Ensure documentation supports coded services and meets payer guidelines
Billing & Claims Management

Prepare, submit, and monitor insurance claims (commercial, Medicare, Medicaid)
Post payments, adjustments, and refunds accurately
Identify, analyze, and resolve claim denials and underpayments
Compliance & Quality

Maintain compliance with HIPAA, CMS, and payer-specific billing regulations
Stay current on coding updates, payer policy changes, and industry best practices
Participate in internal audits and assist with external audits as needed
Collaboration & Communication

Work closely with providers and clinical staff to clarify documentation and coding questions
Communicate with insurance companies regarding claim issues
Provide billing support and explanations to patients as needed

Required Qualifications:

Certified Professional Coder (CPC), CCS, or equivalent coding certification (required)
Minimum 5 years of medical billing and coding experience, preferably in Allergy, Asthma, or Immunology
Strong knowledge of CPT, ICD-10-CM, HCPCS, and E/M coding
Experience with insurance claim submission and denial resolution
Proficiency with electronic health records (EHR) and practice management systems

Preferred Qualifications:

Experience billing for allergy testing, immunotherapy, and biologic medications
Familiarity with Medicare and commercial payer guidelines for allergy services
Knowledge of modifier usage (e.g., -25, -59) in an allergy practice setting
ECW experience preferred but not required.

Skills & Competencies:

High attention to detail and accuracy
Strong organizational and time-management skills
Ability to work independently and as part of a team
Excellent written and verbal communication skills
Strong problem-solving and analytical abilities

Work Environment:

Remote position. Requires weekly in office duties.
May include sitting for extended periods and computer-based work

Pay: $34.00 – $38.00 per hour

Benefits:

401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Tuition reimbursement

Work Location: Hybrid remote in Leominster, MA 01453