Job Overview
Texoma Rheumatology PLLC is seeking a highly organized and detail-oriented certified Medical Coder/Biller to join our growing healthcare team. In this dual role, you will play a critical function in optimizing our revenue cycle by ensuring that all medical diagnoses, procedures, and services are accurately translated into standardized codes and billed to insurance companies in a timely manner
Key Responsibilities
- Medical Coding: Assure accurate ICD-10, CPT, and HCPCS codes to patient encounters and procedures.
- Review & Audit: Analyze medical records and provider documentation to ensure codes are fully supported by medical necessity and completeness.
- Billing & Claims: Submit clean claims to insurance companies and government payers.
- Revenue Cycle Management: Monitor claim status, follow up on unpaid claims, resolve denials, and submit appeals when necessary.
- Compliance: Maintain strict adherence to HIPAA regulations, federal/state laws, and payer policies.
Qualifications & Skills
- Certification: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent accredited medical coding certification required.
- Experience: Minimum of 3 years of hands-on medical billing and coding experience in Rheumatology a plus.
- Technical Proficiency: Strong working knowledge of medical billing software and Electronic Health Records (EHR) systems.
- Knowledge Base: Expert understanding of CPT, ICD-10, and HCPCS coding guidelines and modifiers.
- Soft Skills: Excellent critical thinking, problem-solving, and written/verbal communication skills.
Benefits & Perks
- Competitive salary.
- Comprehensive health, dental, and vision insurance.
- Paid time off (PTO) and paid holidays.
- Simple retirement plan with company match.
- Paid certification dues/resources.
Pay: $28.00 - $32.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Work Location: In person
