Medical Billing Specialist

Description We are looking for a detail-oriented Medical Billing Specialist to support a healthcare organization in Boca Raton, Florida. This Contract position focuses on coding accuracy, billing compliance, and reimbursement optimization within a regulated clinical environment. The ideal candidate brings strong experience in E/M coding, documentation audits, and provider education, along with a current coding certification from a recognized credentialing body.

Responsibilities:

- Conduct secondary reviews of billing activity to confirm coding accuracy, regulatory compliance, and appropriate reimbursement outcomes.

- Examine clinical documentation to identify coding discrepancies, including both missed charges and overreported services, and summarize findings in clear audit reports.

- Partner with physicians and other care team members to clarify incomplete or conflicting documentation and support accurate claim submission.

- Escalate recurring documentation or coding concerns to revenue cycle leadership or practice management with recommendations for corrective action.

- Work closely with billing and revenue cycle staff to resolve account issues, support claim corrections, and improve accounts receivable follow-up efforts.

- Evaluate payer reimbursement patterns, fee schedule variances, and denial trends to identify opportunities for process improvement.

- Investigate questions related to payer guidelines, coding compliance, denials, and billable services, and provide informed responses to stakeholders.

- Deliver education, coaching, and ongoing guidance to providers and staff on documentation standards, coding rules, and third-party payer requirements.

- Maintain current knowledge of payer policy updates and communicate relevant changes affecting specialty billing and coding practices.

- Protect the confidentiality of patient records and financial information while completing assigned billing and audit duties. Requirements - Current coding certification from a recognized organization is required.

- At least 5 years of experience in medical billing, coding, collections, claims, or related healthcare revenue cycle work.

- Demonstrated hands-on experience with E/M coding.

- Working knowledge of auditing methods and documentation review principles.

- Ability to interpret payer policies, compliance standards, and reimbursement guidelines.

- Strong communication skills with the ability to educate providers and collaborate with billing and revenue cycle teams.

- Experience with medical claims and collections processes; familiarity with Epaces is a plus.

- An associate degree from an accredited institution is preferred.

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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit  for more information.

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