Medical Billing & Coding Specialist

Job Description

Job Title : Medical Billing & Coding Specialist

Company : Pinnacle Wound Management

Employment Type : Full-Time

Location : This is an on-site location in Gainesville, GA

About Us :

At Pinnacle Wound Management, we are dedicated to improving the lives of patients through high-quality wound care delivered by expert physicians, nurse practitioners, and physician assistants. As a growing leader in this specialized healthcare field, we're looking for a detail-oriented and proactive Medical Billing & Coding Specialist to join our administrative team and ensure accurate, timely, and compliant billing operations.

Position Overview :

The Medical Billing and Coding Specialist will be responsible for reviewing clinical documentation, assigning appropriate diagnostic and procedural codes, and submitting claims to insurance companies. This role plays a vital part in our revenue cycle and overall patient experience.

Key Responsibilities :

• Review and accurately code medical procedures, diagnoses, and treatments using ICD-10, CPT, and HCPCS codes
• Prepare and submit clean claims to insurance companies both electronically and by paper
• Follow up on unpaid or rejected claims and resolve billing issues
• Ensure compliance with HIPAA and other federal regulations
• Collaborate with clinical staff to clarify documentation and improve coding accuracy
• Maintain up-to-date knowledge of billing regulations and payer guidelines

Qualifications :

Why Join Us?