Certified Biller/Coder Specialist

The Hybrid Certified Biller or Coding Specialist is responsible for the accurate and timely billing of all payer types, including commercial insurance, Medicare, Medicaid, self-pay, and grant-funded programs. This position ensures coding accuracy, regulatory compliance, and optimal reimbursement through claim submission, coding validation, billing audits, denial management, provider education, and documentation improvement. The specialist serves as a revenue cycle resource by identifying billing and coding trends, providing provider feedback, and supporting continuous process improvement initiatives.