Dermatology Billing and Coding Specialist

Cool

Pay: From $48,000.00 per year

POSITION SUMMARY:

The Dermatology Billing and Coding Specialist is responsible for accurate coding, billing, and reimbursement of dermatology services. The role ensures compliance with federal and state regulations, payer policies, and internal procedures. The Specialist collaborates with providers, clinical staff, and insurance carriers to resolve billing issues, maintain documentation, and optimize revenue cycle performance.

KEY RESPONSIBILITES:

Claims Management

· Prepare, review, and submit claims to Medicare, Medicaid, commercial insurers, and private pay patients.

· Monitor claim acceptance and adjudication; resolve denials, rejections, or underpayments.

· Maintain documentation of billing processes and corrective actions.

Coding and Documentation

· Assign and verify ICD-10, CPT, and HCPCS codes accurately.

· Ensure codes are sequenced correctly per payer and regulatory requirements.

· Review patient charts for completeness and clarify unclear documentation.

Accounts Receivable & Payment Posting

· Manage AR aging reports and timely collection of balances.

· Post electronic/paper remittances and reconcile payments with bank deposits.

· Generate patient invoices and follow up on outstanding balances.

Insurance Verification & Patient Financials

· Verify patient insurance eligibility and benefits prior to services as needed.

· Communicate patient financial responsibility, good faith estimates, and monitor payment plans.

Compliance & Quality Improvement

· Ensure billing practices comply with federal, state, and payer regulations.

· Participate in audits, performance improvement, and revenue cycle initiatives.

Collaboration & Communication

· Work effectively with providers, staff, and insurers to resolve billing issues.

· Maintain Professionalism and confidentiality when handling sensitive information.

MINIMUM JOB REQUIREMENTS:

* Associate’s Degree in Business, Healthcare Administration, or related field or 5-10 years medical billing experience.

* Minimum 2 years medical billing and coding experience in healthcare setting.

* Knowledge of medical terminology, ICD-10, CPT-4, HCPCS coding, and UV-04 CMS-1500 forms.

* Proficiency in Microsoft Excel and Word.

* Strong attention to detail, communication, and organizational skills.

PREFERRED JOB REQUIREMENTS:

* Experience in dermatology billing and coding (procedural and cosmetic services).

* CPC, CCS, or equivalent coding certification.

* Experience with EMR and billing systems.

Core Competencies

* Analytical and problem-solving skills.

* Strong verbal and written communication.

* Ability to work independently and prioritize tasks.

* Professionalism, integrity, and commitment to compliance.

* Friendly with excellent customer service skills.

Physical, Mental, and Environmental Conditions of the Essential Duties of the Position:

To comply with the Americans with Disabilities Act of 1990 (ADA), which prohibits discrimination against qualified individuals on the basis of disability, it is necessary to specify the physical, mental and environmental conditions of the Essential Duties of the job. Use the following codes to complete this section: “F” = frequently; “O” – occasionally, “N” = not at all.

Physical Mental Environmental

On the job, the employee must: On the job, the employee must On the job, the employee is:

be able to:

Bend F Sit F Read/Comprehend N Exposed to excessive noise

Squat F Stand O Write N Around moving machinery

Crawl F Walk N Perform Calculations N Exposed to changes in

temperatures and/or humidity

Climb O Push/Pull F Communicate Orally N Exposed to dust, fumes, gases,

Radiation

Kneel O Reason and Analyze N Drives motorized equipment

Manual Dexterity Other O Works in confined quarters

Reach above Shoulder level Other:

Use fine finger movements

Must Carry / Lift Loads of: O Light (up to 25#) ___ Moderate (25-50#) Heavy (>50#)

Candidates must pass in order to quality for the position:

o Criminal background check

o Reference checks

o Education verification

o Licensing verification, if applicable

o Medicare Exclusion List, if applicable

o Drug test

Disclaimer:

This position description has been designed to indicate the general nature and level of work by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications which may be required of the employee assigned to the position. Frequent changes may occur in the job duties and assignments due to the nature of episodic patient flows and volumes. Cross-functionality, teamwork and flexibility are keys to success in the position. The information listed is intended to describe the general nature and level of work performed by people assigned to this classification. This job description is not intended to limit or modify the right of any supervisor to assign, direct and control the work of employees under his/her supervision.

Work Location: Hybrid remote in Lambertville, MI 48144

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Physician Assistant - Van Wert

Cool

Pay: $120,000.00 - $180,000.00 per year

Company Conformance Statements

In the performance of their respective tasks and duties all employees are expected to conform to the following:

· Perform quality work within deadlines with or without direct supervision.

· Interact professionally with other employees, customers and suppliers.

· Work effectively as a team contributor on all assignments.

· Work independently while understanding the necessity for communication and coordinating work efforts with other employees and organizations.

Supervision Exercised: Provides direction to staff in regards to patient care.

POSITION SUMMARY:

Educate and advise patients, diagnose and treat health problems, and provide general health care under the direction of Dr. David Kouba.

The training for the role will take approximately 6 months, 4 days a week, Monday-Thursday.

PRINCIPAL DUTIES & RESPONSIBILITES:

Example of Essential Duties:

· Patient Evaluation and Diagnosis: Perform full body skin exams (FBSEs) and diagnose various skin conditions.

· Treatment Planning and Implementation: Develop treatment plans, prescribe medications, and administer treatments for skin conditions.

· Procedures: Perform biopsies (shave and punch), cryotherapy, and other minor surgical procedures.

· Patient Education: Educate patients on proper skincare, sun protection, and preventative measures.

· Documentation: Maintain accurate patient records and medical documentation.

· Collaboration: Work collaboratively with dermatologists and other healthcare professionals to provide the highest level of care to patients

Other Essential Duties May Include (but are not limited to):

· Other treatments and/or procedures after consulting with or under the supervision of the physician.

· Other duties as assigned.

Knowledge, Skills & Abilities Required:

Required:

- Active Physician Assistant License from the Ohio State Medical Board

- Knowledge of Physician Assistant theory, practice and medical care, medical equipment and instruments, and OSHA regulations.

- Excellent interpersonal and communication skills.

- Ability to analyze and determine solutions in order to best serve the patients.

- Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame

- Current BLS certification required

Education:

- Active Physician Assistant licensure in the State of Ohio

Working Conditions:

Exposure to infectious materials. Use of various instruments and equipment, which may be electrical in nature.

Physical, Mental, and Environmental Conditions of the Essential Duties of the Position:

Physical Mental Environmental

On the job, the employee must: On the job, the employee must On the job, the employee is:

be able to:

Bend F Sit F Read/Comprehend N Exposed to excessive noise

Squat F Stand O Write N Around moving machinery

Crawl F Walk N Perform Calculations N Exposed to changes in

temperatures and/or humidity

Climb O Push/Pull F Communicate Orally N Exposed to dust, fumes, gases,

Radiation

Kneel O Reason and Analyze N Drives motorized equipment

Manual Dexterity Other O Works in confined quarters

Reach above Shoulder level Other:

Use fine finger movements

Must Carry / Lift Loads of: O Light (up to 25#) ___ Moderate (25-50#) Heavy (>50#)

Background checks or licensing requirements

Candidates must pass in order to quality for the position:

o Criminal background check

o Reference checks

o Education verification

o Licensing verification, if applicable

o Medicare Exclusion List, if applicable

o Drug test

Benefits:

Dental insurance

Health insurance

Life insurance

Paid time off

Vision insurance

Work Location: In person

Van Wert, Ohio

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Physician Assistant - Wauseon