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Individuals with Serious Mental Illnesses deserve better.
Coding and Billing Specialist
Location
United States
Posted
102 days ago
Salary
$55K / year
Seniority
Mid Level
Job Description
Coding and Billing Specialist
firsthand
firsthand supports individuals living with SMI (serious mental illness). Our holistic approach includes a team of peer recovery specialists, benefits specialists and clinicians. Our teams focus on meeting each individual where they are and walking with them side by side as a trusted guide and partner on their journey to better health. firsthand's team members use their lived experience to build trust with these individuals and support them in reconnecting to the healthcare they need, while minimizing inappropriate healthcare utilization. Together with our health plan partners, we are changing the way our society supports those most impacted by SMI. We are cultivating a team of deeply passionate problem-solvers to tackle significant and complex healthcare challenges with us. This is more than a job—it's a calling. Every day, you will engage in work that resonates with purpose, gain wisdom from motivated colleagues, and thrive in an environment that celebrates continuous learning, creativity, and fun. Coding & Billing Specialist Role: The Coding & Billing Specialist is a critical, full-time, salaried position within firsthand’s clinical documentation team. This role is a foundational hire, offering the opportunity to define key processes and program elements for comprehensive and accurate coding of clinical services. Key Responsibilities - As a specialist in this function, your responsibilities will include: - Coding & Auditing: - Perform day-to-day encounter coding for services, procedures, diagnoses, and treatments. - Verify that all assigned codes (ICD, CPT, and HCPC) are compatible, appropriate, and accurate for billing. - Audit clinical notes for supporting documentation and code to the highest specificity. - Use medical terminology to confirm clinical documentation supports the reported diagnoses. - Conduct coding corrections. - Claims & Revenue Cycle Management: - Prepare and submit claims for payment. - Correct and resubmit rejected claims. - Maintain Accounts Receivable (A/R) for revenue cycle management. - Expertise & Process Improvement: - Serve as the subject matter expert on firsthand's billing systems, including the Electronic Health Record (EHR) and Clearinghouses. - Advise on and implement ongoing process improvements related to coding and billing. - Develop and update procedures manuals to ensure correct coding standards and minimize fraud/abuse risk (e.g., revising the master CPT list). - Education & Support: - Educate firsthand Advanced Practice Nurses (APNs), Nurse Practitioners (NPs), and other team members on proper code selection, documentation, procedures, and requirements. - Provide technical guidance to clinical staff in resolving coding issues, such as incomplete or ambiguous documentation. What You Will Bring - Experience & Qualifications: - 4+ years of experience as a medical billing and coding specialist, leveraging an EHR system. - A High School diploma or equivalent. - Required Medical Coder Certification: Certified Professional Coder (CPC) from AAPC or Certified Coding Specialist (CCS) from AHIMA. - Nice-to-have: Certified Risk Adjustment Coder (CRC) from AAPC. - Skills & Knowledge: - Strong knowledge of ICD-10-CM and CPT coding guidelines. - Proficiency in medical terminology, with the ability to read and interpret medical procedures and documentation. - Expertise in state and federal Medicare reimbursement guidelines. - Ability to quickly gain proficiency in firsthand’s specific EHR, Clearinghouse, and other billing software. - Strong multi-tasking skills and consistent attention to detail. - Excellent written and verbal communication skills for maintaining collaborative relationships with APNs, NPs, the Clinical Documentation Integrity Specialist, and other team members. - Support firsthand’s mission, vision, and values by demonstrating respect, dignity, empathy, and professional conduct. Base salary range: $55,000—$55,000 USD We firmly believe that great candidates for this role may not meet 100% of the criteria listed in this posting. We encourage you to apply anyway - we look forward to begin getting to know you. Benefits For full-time employees, our compensation package includes base, equity (or a special incentive program for clinical roles) and performance bonus potential. Our benefits include physical and mental health, dental, vision, 401(k) with a match, 16 weeks parental leave for either parent, 15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond), and a supportive and inclusive culture. Vaccination Policy Employment with firsthand is contingent upon attesting to medical clearance requirements, which include, but may not be limited to: evidence of vaccination for/immunity to COVID-19, Hepatitis B, Influenza, MMR, Chickenpox, Tetanus and Diphtheria. All employees of firsthand are required to receive these vaccinations on a cadence/frequency as advised by the CDC, whereas not otherwise prohibited by state law. New hires may submit for consideration a request to be exempted from these requirements (based on a valid religious or medical reason) via forms provided by firsthand. Such requests will be subject to review and approval by the Company, and exemptions will be granted only if the Company can provide a reasonable accommodation in relation to the requested exemption. Note that approvals for reasonable accommodations are reviewed and approved on a case-by-case basis and availability of a reasonable accommodation is not guaranteed. Unfortunately, we are not able to offer sponsorship at this time. firsthand Health will only contact candidates from email addresses ending in @firsthandcares.com. Any communication from another domain claiming to represent firsthand is fraudulent. We will never ask for payment or sensitive financial information during the hiring process. If you receive suspicious outreach, please do not respond.
Benefits
- 401(K), 401(K) matching, Adoption Assistance, Company equity, Company-sponsored outings, Continuing education stipend, Dental insurance, Disability insurance, Diversity manifesto, Documented equal pay policy, Volunteer in local community, Family medical leave, Flexible work schedule, Generous parental leave, Generous PTO, Health insurance, Job training & conferences, Open door policy, Life insurance, Mean gender pay gap below 10%, Mentorship program, Paid holidays, Paid industry certifications, Paid sick days, Performance bonus, Pet friendly, Promote from within, Remote work program, Team based strategic planning, OKR operational model, Mandated unconscious bias training, Unlimited vacation policy, Vision insurance, Mental health benefits, Home-office stipend for remote employees, Hiring practices that promote diversity, Day off for your birthday, Quarterly engagement surveys, Hybrid work model, Employee awards, Flexible time off, Floating holidays, Bereavement leave benefits
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Billing Specialist
Flock SafetyWe are the first public safety operating system empowering over 2500 cities to eliminate crime.
Who is Flock? Flock Safety is the leading safety technology platform, helping communities thrive by taking a proactive approach to crime prevention and security. Our hardware and software suite connects cities, law enforcement, businesses, schools, and neighborhoods in a nationwide public-private safety network. Trusted by over 5,000 communities, 4,500 law enforcement agencies, and 1,000 businesses, Flock delivers real-time intelligence while prioritizing privacy and responsible innovation. We’re a high-performance, low-ego team driven by urgency, collaboration, and bold thinking. Working at Flock means tackling big challenges, moving fast, and continuously improving. It’s intense but deeply rewarding for those who want to make an impact. With nearly $700M in venture funding and a $7.5B valuation, we’re scaling intentionally and seeking top talent to help build the impossible. If you value teamwork, ownership, and solving tough problems, Flock could be the place for you. 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If you are interested in talking to a representative from one of these, please let your recruiter know. 💻WFH Stipend: $150 per month to cover the costs of working from home. 📚Productivity Stipend: $300 per year to use on Audible, Calm, Masterclass, Duolingo, Grammarly and so much more. 🏠Home Office Stipend: A one-time $750 to help you create your dream office. Flock is an equal opportunity employer. We celebrate diverse backgrounds and thoughts and welcome everyone to apply for employment with us. We are committed to fostering an environment that is inclusive, transparent, and collaborative. Mutual respect is central to how Flock operates, and we believe the best solutions come from diverse perspectives, experiences, and skills. We embrace our differences and know that we are stronger working together. If you need assistance or an accommodation due to a disability, please email us at recruiting@flocksafety.com. 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If you encounter suspicious outreach related to a Flock Safety role, please report it to recruiting@flocksafety.com
• Follow VitalCaring billing Standard Operating Procedures and regulatory billing guidelines • Collaborate with your supervisor and the billing team to address payor and billing concerns • Ensure documentation accuracy and submit claims in accordance with Medicare and other payor requirements • Serve as a key liaison to Branch Directors and administrative staff to gather information needed for claims • Meet individual productivity standards and maintain confidentiality of financial information • Manage workflow tasks and documentation in our EMR system • Upload payor communication documents and input billing Coordination Notes to support team communication • Participate in learning and development to continue growing professionally • Represent VitalCaring with integrity, positivity, and alignment to our mission • Maintain compliance with federal, state, and ethical billing regulations • Perform additional duties as assigned
Role Description The Pharmacy Specialist will work to support people who have been injured on the job. This role will respond to departmental inquiries regarding pharmacy benefits for pharmacy lines of business. The Pharmacy Specialist works closely with pharmacies, claims adjusters, providers, claimants, and other CorVel offices to quickly and professionally answer questions. This position is not quota driven, nor is this a “scripted” position. This role requires a service-minded individual, active listening, and pro-active problem-solving skills to be successful. The Pharmacy Solutions team hours are 8 a.m. to 11 p.m., Monday through Friday. This is a remote role. Qualifications - Familiarity with external pharmacy adjudication system and internal billing/claims management applications - Excellent verbal and written communication skills - Exceptional decision-making and problem-solving abilities - Ability to work independently and within a team environment - Computer proficiency with knowledge of Microsoft Office applications Requirements - High school diploma or equivalent - Some customer service and/or call center experience - Pharmacy Benefits Management experience preferred - Pharmacy Technician Certification preferred Benefits - Medical (HDHP) w/Pharmacy - Dental - Vision - Long Term Disability - Health Savings Account - Flexible Spending Account Options - Life Insurance - Accident Insurance - Critical Illness Insurance - Pre-paid Legal Insurance - Parking and Transit FSA accounts - 401K - ROTH 401K - Paid time off Company Description CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health, and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enables us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity, and Teamwork (ACE-IT!).
Billing Lead
RSMHeadquartered in Chicago, Illinois, RSM is a professional auditing, tax, and business consulting firm with a history dating back to 1926. Formerly known as McGl
We are the leading provider of professional services to the middle market globally, our purpose is to instill confidence in a world of change, empowering our clients and people to realize their full potential. Our exceptional people are the key to our unrivaled, culture and talent experience and our ability to be compelling to our clients. You’ll find an environment that inspires and empowers you to thrive both personally and professionally. There’s no one like you and that’s why there’s nowhere like RSM. Responsibilities: - Manage the day-to-day billing process for respective team line of business focus area(s) ensuring billing goals are achieved. - Responsible for coordinating and organizing schedules, processes, and procedures for the timely billing of the firm’s services. - Responsible for the teams’ day-to-day task management, performance, and driving accountability toward key performance indicators. - Meet with team members, ensuring compliance to standard billing practices, resolving complex billing issues/questions, and education of primary billers and functional leads. - Understand and be able to articulate the impact/effects of all financial concepts related to billing as well as impact to the firms standardized reporting. - Independently investigates complex billing issues and processes invoice adjustments to ensure invoice and margin accuracy. - In collaboration with the Billing Manager, cultivate seamless and highly effective working relationships, interoperability, and lines of communication with the Firm’s applicable Primary Billers and Functional Leads, and finance peers. - Supervisory duties include connecting with team members regularly, driving performance and ongoing development of skills. - Ongoing performance management (goal setting, feedback, performance assessment) - Skills development (experience, exposure, education) - Supports employees with the development of knowledge, skills, and abilities by working to help gain exposure through on-the-job experiences, alignment of work, learning opportunities and connectivity to others. - Utilization/productivity – works with employee to monitor personal metrics, help align to LOB and firm expectations and monitors for issues or gaps. - Long-term career coaching and development. Required Qualifications: - Associate's degree with a finance operations, accounting or equivalent experience - Required - Strong Microsoft Office skills - Required - Ability to learn, implement and train others – Required - Ability to work in a large, complex, dynamic organization where a high degree of ambiguity and change exists – Required - Ability to work effectively with all levels of employees including senior leadership – Required - Ability to work autonomously and as a team leader – Required - Strong problem solving and analysis skills – Required - Strong organization, prioritization, and time management skills – Required - 4-6 years’ experience - Required - Prior professional billing experience - Required - Ability to supervise, direct and review the results of projects or assignments - Required - Demonstrated success in influencing and engaging stakeholders, building collaborative relationships while managing conflicting priorities – Required - Demonstrated ability to respond positively to changing circumstances, seek and implement change to drive business process improvement, and serve as a model of change – Required - Strong communication skills. Able to communicate effectively with people at all levels of the firm – Required - Able to motivate, inspire and develop individuals and teams to collaborate and deliver to their highest potential - Required Preferred Qualifications: - Bachelor's degree - Preferred - Professional services experience - Preferred At RSM, we offer a competitive benefits and compensation package for all our people. We offer flexibility in your schedule, empowering you to balance life’s demands, while also maintaining your ability to serve clients. Learn more about our total rewards at https://rsmus.com/careers/working-at-rsm/benefits. All applicants will receive consideration for employment as RSM does not tolerate discrimination and/or harassment based on race; color; creed; sincerely held religious beliefs, practices or observances; sex (including pregnancy or disabilities related to nursing); gender; sexual orientation; HIV Status; national origin; ancestry; familial or marital status; age; physical or mental disability; citizenship; political affiliation; medical condition (including family and medical leave); domestic violence victim status; past, current or prospective service in the US uniformed service; US Military/Veteran status; pre-disposing genetic characteristics or any other characteristic protected under applicable federal, state or local law. Accommodation for applicants with disabilities is available upon request in connection with the recruitment process and/or employment/partnership. RSM is committed to providing equal opportunity and reasonable accommodation for people with disabilities. If you require a reasonable accommodation to complete an application, interview, or otherwise participate in the recruiting process, please call us at 800-274-3978 or send us an email at careers@rsmus.com. RSM does not intend to hire entry level candidates who will require sponsorship now OR in the future (i.e. F-1 visa holders). If you are a recent U.S. college / university graduate possessing 1-2 years of progressive and relevant work experience in a same or similar role to the one for which you are applying, excluding internships, you may be eligible for hire as an experienced associate. RSM will consider for employment qualified applicants with arrest or conviction records. For those living in California or applying to a position in California, please click here for additional information. At RSM, an employee’s pay at any point in their career is intended to reflect their experiences, performance, and skills for their current role. The salary range (or starting rate for interns and associates) for this role represents numerous factors considered in the hiring decisions including, but not limited to, education, skills, work experience, certifications, location, etc. As such, pay for the successful candidate(s) could fall anywhere within the stated range. Compensation Range: $57,200 - $94,600 Individuals selected for this role will be eligible for a discretionary bonus based on firm and individual performance.




