Main Street Health

Medical Billing and Coding

• Review clinical documentation and assign accurate ICD-10-CM, HCPCS, and CPT codes to encounters
• Ensure compliance with CMS, payer, and risk adjustment coding guidelines
• Perform coding audits and validations for completeness and accuracy
• Collaborate with clinicians and billing staff to clarify documentation or coding discrepancies
• Support clean claim submission and reduce denials through proactive review and communication
• Stay current with changes in payer policies, coding updates, and HCC/risk adjustment models
• Maintain productivity and quality standards as defined by the Billing team

Billing and Coding Specialist