Medical Billing & Coding Specialist

Job Description

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 :

Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent required

2+ years of medical billing and coding experience (specialty experience a plus)

Strong knowledge of insurance guidelines, including Medicare and Medicaid

Proficiency with electronic medical records (EMR) and billing software

Excellent attention to detail and organizational skills

Ability to handle confidential information with discretion

Why Join Us?

Opportunity to be part of a mission-driven team making a direct impact on patient care.

Supportive and collaborative work environment.

Competitive salary and benefits package.