Clinical Specialist - Medical Billing

This role looks like... 

The Medical Billing Clinical Specialist plays a critical role in advancing Fusion’s mission by bridging deep healthcare knowledge with innovative product development. This hybrid role goes beyond traditional coding — it’s about translating real-world billing challenges into scalable, compliant, and user-centered product solutions. The right candidate will bring a sharp eye for detail, a passion for continuous improvement, and the ability to collaborate across functions. Working closely with engineers, product managers, and client-facing teams, this role will help embed best-in-class coding practices directly into our technology, driving both operational efficiency and client success.

• Partner with product and engineering teams to enhance billing tools and workflows.
• Collaborate with cross-functional teams to ensure coding logic is seamlessly integrated into our platform.
• Stay ahead of evolving coding regulations and industry trends.
• Develop training content and support resources for both clients and internal teams.
• Work directly with clients to understand challenges, gather feedback, and translate needs into product solutions.
• Be Fusion’s internal expert on medical coding, billing compliance, and industry standards.
• Experience in designing and developing prototypes and creating proofs of concepts (POCs) for evaluating new technologies.

You could be a great fit if... 

We believe in harnessing diverse talents and perspectives, and if you believe you have what it takes to excel in this role, we want to hear from you. We look forward to reviewing your application if you have the following qualifications and experience:

• A minimum of 5 years’ medical billing experience with a desired expertise in Medicaid billing.
• Strong analytical skills with a passion for solving complex coding challenges.
• Comfortable working in a dynamic environment, managing multiple priorities, and adapting to evolving client needs
• Exceptional verbal and written communication skills, with the ability to convey complex information to both technical and non-technical stakeholders.
• A CPC, CCS, or comparable certification required and current.
  
  

Additional Details:

• This is an on-site (hybrid), full-time, salaried position. Our normal hours of operation are Monday – Friday, 8:00 AM – 4:00 PM. 
• Salary is DOE, please provide your salary expectations in your application.
• This position description is not intended to be exhaustive, and other duties may be assigned as they arise.
• It is not expected that applicants have any familiarity with Fusion’s proprietary applications, Healthcare software, or Corrections/Public Health business processes. Qualified candidates will be able to demonstrate related experience and transferable skills that will work well with the Fusion team.
• At this time, this position is not eligible for employment sponsorship.
• Fusion is an equal employment opportunity employer
  
  

Compensation

• Salary Range: $55,000 – $70,000.
• At Fusion, our salary ranges are designed to be competitive within our size and industry. Compensation is just one component of a comprehensive total rewards package that also includes benefits, flexibility, and growth opportunities.
• Individual pay decisions are informed by several factors, including location, experience, qualifications, skillset, and internal equity across the organization. While we expect most offers to fall within the stated range, each compensation decision is made thoughtfully, with consideration for both the candidate’s unique profile and our commitment to pay parity.