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Medical Biller / Coder & Credentialing Specialist

Tucson Dermatology

Multi-location healthcare organization seeking a highly organized professional to support revenue cycle operations through medical billing and coding, claims processing, payer credentialing, denial management, and provider enrollment.

This role works closely with providers, leadership, and clinical teams to ensure accurate billing, compliance with payer requirements, and efficient reimbursement processes.

Key responsibilities include:

  • Review provider documentation and assign accurate ICD-10, CPT, and HCPCS codes
  • Prepare and submit electronic claims through the practice management system
  • Monitor claim status and follow up on unpaid or denied claims
  • Manage provider credentialing, recredentialing, and payer enrollment
  • Maintain compliance with billing regulations, payer policies, and HIPAA
  • Generate billing, collections, and credentialing status reports
  • Identify opportunities to improve billing workflows and revenue cycle performance
Requirements & Qualifications

Required qualifications:

  • Minimum 3 years of experience in medical billing, coding, or revenue cycle management
  • Experience with provider credentialing and payer enrollment
  • Strong knowledge of ICD-10, CPT, and HCPCS coding
  • Experience working with insurance payers and claim follow-up
  • Strong attention to detail and organizational skills

Preferred qualifications:

  • CPC, CCS, or equivalent coding certification
  • Experience in dermatology or outpatient specialty practices
  • Experience with Modernizing Medicine (ModMed EMA) or similar EMR systems
  • Knowledge of dermatology procedures, Mohs surgery billing, or cosmetic services

Key competencies:

  • Strong analytical and problem-solving abilities
  • Excellent attention to detail
  • Ability to manage multiple priorities and deadlines
  • Strong communication skills with clinical and administrative teams
  • Commitment to compliance and billing accuracy
Benefits & Perks

Competitive compensation based on experience

Monday-Friday work schedule

Professional and collaborative work environment

Opportunity to support and improve revenue cycle operations within a growing healthcare organization

Location

Tucson, Arizona, US

Employment Type

Full-time

Experience Level

Intermediate Level

Remote work allowed

No

Posted

1 week ago

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