Billing Integrity Specialist – Allergen Immunotherapy

Allergy Partners PLLC

. Enter allergen immunotherapy charges and review them for accuracy and compliance with federal and payer coding and billing regulations .

Posted 10/7/2026full-timeRemote • North Carolina • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical billing and coding, particularly in allergen immunotherapy and specialty physician practices, while ensuring compliance with federal and payer regulations. Proficient in using electronic health records and practice management software to manage charge entry and billing processes effectively.

Highest-signal resume keywords

CPT Code EntryMedical BillingCoding CertificationElectronic Health RecordsPayer Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Charge EntryBilling RegulationsMedical TerminologyPayer GuidelinesBilling ComplexitiesData AnalysisProblem SolvingHIPAA CompliancePractice Management SoftwareInsurance Denials

Soft Skills

Communication SkillsInterpersonal SkillsOrganizational SkillsJudgmentTeam Collaboration

Tools & Technologies

Microsoft Office ExcelMicrosoft Office WordElectronic Health RecordsPractice Management Software

Certifications & Qualifications

Coding Certification from AHIMACoding Certification from AAPC

Industry Keywords

Allergy Specialty BillingPhysician Office OperationsBilling IntegrityCompliance ProgramPayer Policies

About the role

Key responsibilities & impact

Enter allergen immunotherapy charges and review them for accuracy and compliance with federal and payer coding and billing regulations
Follow AP protocols and payer policies for accurate CPT code entry and billing
Research payer manuals, guidelines, and billing rules and notify the Supervisor of updates
Perform assigned duties within designated timelines and performance standards
Comply with federal, state, and payer requirements
Recommend process and policy improvements to the team lead
Interact with practice managers and staff regarding billing and payer policies, procedures, and regulations
Review medical record documentation to determine whether refill, restart, reformulation, and new orders are appropriate
Research, analyze, and respond to internal inquiries about charge entry, billable services, and denials
Work interdepartmentally to ensure charges are entered into the practice management system according to protocols and payer guidelines
Maintain in-depth knowledge of payer clinical guidelines and reimbursement policies
Assist accounts receivable billing representatives with insurance denials by reviewing records, educating on billing issues, and facilitating resolution
Assist with billing issues and medical record review during the pre-billing review process
Assist with special billing integrity projects as assigned
Complete assigned training and comply with the Code of Conduct, Compliance Program, and department policies
Perform miscellaneous job-related duties as assigned
No supervisory duties

Requirements

What you’ll need

High school diploma or GED equivalent
Coding certification from AHIMA or AAPC preferred
Two years of physician office charge entry/billing following complex rules
Two years of experience in physician office operations
Oral and written communication skills
Competence using Microsoft Office Excel and Word, and electronic health records
Four years of physician charge entry following complex rules preferred
Two years of experience billing for multiple physicians and locations preferred
Experience with practice management software and an EMR preferred
Knowledge of medical terminology preferred
Experience in allergy specialty physician billing preferred
Knowledge of billing and coding complexities related to specialty physician office charge entry
Ability to use independent judgment and manage confidential information
Understanding of HIPAA and ability to maintain confidentiality and privacy of PHI
Ability to analyze and solve problems
Strong communication and interpersonal skills
Knowledge of regulatory and policy issues related to coding and billing
Knowledge of current and developing issues and trends in medical billing and payer requirements
Ability to communicate billing requirements clearly to providers, practice managers, and staff
Understanding of and experience with electronic health records and physician practice management and billing applications
Excellent organizational skills and ability to manage multiple tasks within designated timelines
Ability to communicate and work proficiently interdepartmentally