Job Description:
Job Description: Medical Coding and Billing Specialist
Location: Florence, Italy
Industry: Business Process Outsourcing (BPO) & Knowledge Process Outsourcing (KPO)**
The Medical Coding and Billing Specialist is responsible for accurately coding medical procedures, diagnoses, and services, as well as processing insurance claims and invoices for clients within the healthcare outsourcing sector. Based in Florence, the specialist ensures all medical billing activities comply with applicable coding standards and insurance regulations, supporting timely reimbursements and efficient revenue cycle management.
Key duties include assigning ICD-10, CPT, and HCPCS codes to clinical documentation, auditing claims for compliance, resolving discrepancies, and submitting billing data to insurers and other payers. The specialist also communicates with healthcare providers, insurance representatives, and patients to clarify information, manage rejections, and ensure proper follow-up.
Proficiency in medical coding software, EHR systems, and billing platforms is essential. The role requires a solid understanding of anatomy, medical terminology, and regulatory guidelines such as HIPAA and GDPR.
This position is ideal for detail-oriented professionals with strong organizational and analytical skills, capable of maintaining accuracy while managing large volumes of data. The Medical Coding and Billing Specialist plays a vital role in optimizing healthcare revenue operations for BPO and KPO clients by ensuring compliant and efficient claims processing.
Job Requirement:
Job Requirements: Medical Coding and Billing Specialist
Location: Florence, Italy
Industry: Business Process Outsourcing (BPO) & Knowledge Process Outsourcing (KPO)**
Candidates must hold a diploma or bachelor’s degree in Health Information Management, Medical Billing & Coding, Life Sciences, or a related healthcare discipline. Certification from a recognized body such as AAPC (CPC) or AHIMA (CCS) is highly preferred. A minimum of 2–3 years of experience in medical coding and billing, ideally within a BPO/KPO or healthcare support services environment, is required.
Proficiency in ICD-10, CPT, and HCPCS coding systems is essential. Familiarity with electronic health records (EHR) platforms such as Epic, Cerner, or Meditech, as well as medical billing software, is expected. Applicants must have a strong understanding of healthcare reimbursement processes, insurance claims handling, and regulatory compliance including HIPAA and GDPR.
Excellent attention to detail, accuracy in data entry, and the ability to interpret complex medical records are critical. Strong analytical, problem-solving, and communication skills are also necessary to resolve claim rejections, billing errors, and provider queries.
Fluency in English is mandatory; knowledge of Italian is an asset. The ideal candidate is deadline-driven, discreet with confidential information, and capable of working in a high-volume, compliance-oriented outsourcing environment.
