Insurance and Coding Specialist

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Insurance and Coding Specialist responsible for managing the revenue cycle for a youth mental health provider. Focused on insurance verification, payment posting, and coding compliance from eligibility to reimbursement.

Posted 7/30/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $47,000 - $60,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in insurance eligibility verification, payment posting, and claims management, with a strong focus on coding accuracy and compliance. Proficient in analyzing and resolving discrepancies while maintaining effective communication in a fast-paced environment.

Highest-signal resume keywords

AAPC Coding Certification (CPC)Insurance Eligibility VerificationClaims Follow UpCPT and ICD-10-CM KnowledgeDocumentation Auditing

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Insurance Eligibility VerificationPayment PostingClaims ManagementCPT CodingICD-10-CM CodingModifier UsageDocumentation AuditingAnalytical SkillsProblem SolvingOrganizational Skills

Soft Skills

Excellent Written CommunicationExcellent Verbal CommunicationAbility to Work IndependentlyTime Management

Tools & Technologies

Practice Management System

Certifications & Qualifications

AAPC Coding Certification (CPC)

Industry Keywords

ReimbursementDenial ManagementCoding CompliancePayment VariancesUnderpayments

About the role

Key responsibilities & impact

Verify patient insurance eligibility and benefits prior to services.
Document eligibility findings accurately within the practice management system.
Identify and resolve eligibility discrepancies that could impact reimbursement.
Accurately post insurance and patient payments.
Research payment variances, underpayments, and missing payments.
Perform timely follow up on outstanding insurance claims.
Work denied, rejected, and underpaid claims.
Submit corrected claims, appeals, reconsiderations, and supporting documentation.
Perform routine provider documentation and coding audits to ensure coding accuracy and compliance.
Review CPT, ICD-10-CM, and modifier usage for appropriate code selection.
Identify documentation deficiencies and coding opportunities.

Requirements

What you’ll need

High school diploma or equivalent, required. Associate's or Bachelor's degree preferred.
AAPC Coding Certification (CPC or equivalent), required.
Experience with insurance eligibility verification, payment posting, claims follow up, and denial management.
Experience auditing provider documentation and coding for accuracy and compliance.
Working knowledge of CPT, ICD-10-CM, and modifier usage.
Strong analytical, organizational, and problem solving skills.
Excellent written and verbal communication skills.
Ability to work independently while managing multiple priorities in a fast paced environment.

Benefits

Comp & perks

Health coverage: Medical, Dental, and Vision insurance, plus Long-Term Disability, Life Insurance, a Flexible Spending Account, and a 401(k)
Time to recharge: 12 Company Holidays, Floating Holidays, and Paid Time Off — plus a company-wide Holiday Shutdown between Christmas and New Year's, so you can truly unplug knowing your teammates are offline too
Growing your family: Parental Leave to be present for what matters most
Perks & stipends: Health and Wellness Stipend, Home Office Reimbursement, License Maintenance Reimbursement, Commuter Benefits, and Professional Development Reimbursement to support how and where you do your best work