Overview
Join our dynamic healthcare team as a Pediatric Medical Billing and Coding Specialist, where your expertise will directly impact the efficiency of our revenue cycle management and ensure accurate processing of medical claims. In this vital role, you will utilize your comprehensive knowledge of medical coding guidelines, insurance procedures, and billing software to facilitate seamless communication between healthcare providers, insurance companies, and patients. Your energetic approach and attention to detail will help optimize reimbursement processes, maintain compliance with industry standards, and support the delivery of exceptional patient care.
Responsibilities
- Accurately assign ICD-10, ICD-9, CPT, and DRG codes to medical records for clinic services in accordance with current medical coding guidelines.
- Review and interpret medical records, documentation, and provider notes to ensure precise coding for billing purposes.
- Prepare and submit electronic health record (EHR) and electronic medical record (EMR) system-based claims to third-party payers, ensuring adherence to insurance requirements.
- Resolve claim denials by analyzing reasons for rejection related to coding errors or missing information, then reprocess claims for successful reimbursement.
- Maintain up-to-date knowledge of health insurance policies, claim processing procedures, and industry regulations to ensure compliance.
- Collaborate with healthcare providers to clarify documentation discrepancies and improve overall accuracy of medical records.
- Manage the revenue cycle by tracking outstanding accounts receivable, following up on unpaid claims, and supporting collections efforts.
Experience
- Proven experience in medical billing and coding within a healthcare setting, with a strong understanding of ICD-10/ICD-9 coding systems..
- Hands-on experience using billing software, EMR/EHR systems, and health insurance claim processing platforms.
- Knowledge of medical terminology, medical records management, and electronic health record (EHR) management for billing and coding purposes.
- Strong understanding of health insurance policies, third-party billing procedures, and revenue cycle management strategies.
- Ability to interpret medical documentation accurately while adhering to coding guidelines for both outpatient and inpatient services.
- Excellent organizational skills with attention to detail to ensure accuracy in all billing activities.
Embark on a rewarding career where your skills make a tangible difference! We value energetic professionals who are committed to precision, compliance, and continuous learning in the evolving landscape of healthcare billing and coding.
Pay: $15.00 - $18.00 per hour
Benefits:
- Health insurance
- Paid time off
- Professional development assistance
Work Location: In person
