Revenue Cycle Billing & Coding Specialist; part-time

Organization: Village of Healing
Position Type: Part-Time
Schedule
:
Monday-Thursday; 8:30a-5p
Location: Cleveland, Ohio
Reports To: Director of Clinical Operations
Compensation: $24–$30 per hour, based on experience, qualifications, and certification

About Village of Healing
Village of Healing is a nonprofit healthcare organization committed to providing accessible, high-quality, culturally responsive healthcare and supportive services to individuals and families throughout Northeast Ohio. Our services include women’s health, primary care, pediatrics, behavioral health, and integrated support services.

We are seeking an experienced and highly accountable Revenue Cycle Billing & Coding Specialist to support accurate billing, timely reimbursement, denial
management, and strong revenue-cycle performance.

The Revenue Cycle Billing & Coding Specialist is responsible for coding review, charge capture, claim submission, payment posting, denial management, accounts receivable follow-up, and identification of reimbursement barriers.

This position works under the direction of the Director of Operations and collaborates with clinical, administrative, finance, and external credentialing partners as needed. The ideal candidate will take ownership of assigned claims from initial review through final resolution and help identify recurring issues that delay or prevent reimbursement.

• Review patient encounters and provider documentation for billing accuracy and completeness.
• Assign or validate appropriate CPT, HCPCS, and ICD-10-CM codes.
• Ensure billable encounters are captured and claims are submitted within established timelines.
• Monitor unbilled encounters and outstanding documentation.
• Prepare and submit clean claims to Medicaid, Medicare, Medicaid Managed Care Organizations, commercial insurers, and other payers.
• Monitor rejected, denied, unpaid, and underpaid claims through final resolution.
• Prepare corrected claims, reconsiderations, and appeals when appropriate.
• Follow up with insurance companies regarding claim status and payment.
• Monitor accounts receivable and prioritize follow-up based on age, dollar value, and filing deadlines.
• Prevent avoidable timely-filing losses.
• Post insurance and patient payments accurately and timely.
• Review remittance information and identify underpayments, adjustments, or discrepancies.
• Identify recurring denial trends and recommend corrective action.
• Identify documentation, coding, registration, credentialing, or payer issues affecting reimbursement.
• Communicate billing and documentation concerns to providers and staff.
• Provide feedback and education regarding recurring coding or documentation issues.
• Maintain clear documentation of work performed and productivity.
• Prepare regular revenue-cycle reports for the Director of Operations, including claims submitted, denials, unpaid claims, accounts receivable, payments, and outstanding issues.
• Participate in revenue-cycle and quality-improvement meetings as needed.
• Maintain HIPAA compliance and patient confidentiality.
• Perform other billing and coding duties as assigned.

• High school diploma or equivalent.
• Previous hands-on medical billing, coding, accounts receivable, or revenue-cycle experience.
• Demonstrated experience resolving denied, rejected, and unpaid claims.
• Working knowledge of CPT, HCPCS, and ICD-10-CM coding.
• Knowledge of insurance claims, reimbursement, payment posting, and accounts receivable processes.
• Strong attention to detail, organization, and follow-through.
• Ability to work independently and manage multiple priorities.
• Strong communication, analytical, and problem-solving skills.
• Ability to maintain confidentiality and appropriately handle protected health information.

• M…