Overview
Join our dynamic healthcare team as a Certified Coder/Biller, where your expertise will drive accurate medical coding and efficient billing processes. In this vital role, you will ensure precise coding of medical records, facilitate seamless insurance claim submissions, and support the revenue cycle management to optimize financial performance. Your attention to detail and thorough understanding of medical coding guidelines will help improve patient billing experiences and ensure compliance with industry standards. This position offers an energetic environment where your skills directly contribute to the success of healthcare operations and patient satisfaction.
Responsibilities
- Review and analyze medical records to assign appropriate ICD-10, ICD-9, CPT, and DRG codes in accordance with current coding guidelines.
- Ensure accurate and timely submission of insurance claims using advanced billing software and EMR/EHR systems.
- Verify insurance coverage, process third-party billing, and follow up on unpaid or denied claims to maximize revenue recovery.
- Maintain comprehensive documentation of medical records, coding decisions, and billing activities for audit readiness.
- Collaborate with healthcare providers to clarify documentation and ensure proper coding for inpatient Neurosurgery services and outpatient procedures.
- Stay updated on changes in medical coding standards, health insurance policies, and regulatory requirements to maintain compliance.
- Support the revenue cycle management process by identifying opportunities for process improvements and ensuring adherence to best practices.
Qualifications
- Proven experience in medical coding and billing within a healthcare setting, with knowledge of ICD-10, ICD-9, CPT, DRG, and medical terminology.
- Familiarity with electronic health record (EHR) systems, EMR/EHR management for billing and coding, and billing software platforms.
- Strong understanding of health insurance claim processing, third-party billing procedures, and revenue cycle management.
- Knowledge of medical coding guidelines for inpatient services as well as outpatient procedures.
- Excellent attention to detail with the ability to interpret complex medical documentation accurately.
- Effective communication skills to collaborate with healthcare providers and insurance companies.
- Certifications such as Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent are highly preferred.
Embrace this opportunity to leverage your coding expertise in a fast-paced environment that values accuracy, compliance, and professional growth!
Pay: $25.80 - $27.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Work Location: In person
