Overview
Join our dynamic healthcare team as a Medical Coder and Biller, where you will play a vital role in ensuring accurate medical coding and efficient billing processes. In this position, you will interpret medical records, assign appropriate codes, and manage billing workflows to optimize revenue cycle management. Your expertise will help facilitate seamless communication between healthcare providers, insurance companies, and patients, contributing to the delivery of quality care and financial stability for our organization. This role offers an engaging environment for detail-oriented professionals passionate about accuracy and healthcare finance.
Duties
- Review and analyze medical records to assign precise ICD-10, ICD-9, CPT (Current Procedural Terminology), and DRG (Diagnosis-Related Group) codes for inpatient and outpatient services.
- Ensure coding compliance with current regulations and guidelines to support accurate reimbursement.
- Prepare and submit electronic claims using physical patient charts, EMR (Electronic Medical Record) and EHR (Electronic Health Record) systems for timely processing.
- Manage accounts receivable by following up on unpaid or denied claims through medical collection efforts and insurance third-party billing.
- Collaborate with healthcare providers to clarify documentation discrepancies and improve coding accuracy.
- Maintain detailed records of coding activities, billing transactions, and insurance correspondence for audit readiness.
- Support revenue cycle management by verifying insurance coverage, processing payments, and managing patient billing inquiries.
Requirements
- Proven experience in medical coding with proficiency in ICD-10, ICD-9, CPT coding, DRG assignment, and coding for inpatient services.
- Strong knowledge of health insurance policies, third-party billing procedures, and revenue cycle management practices.
- Familiarity with EMR/EHR systems for electronic health record management related to billing and coding processes.
- Excellent understanding of medical terminology, medical records documentation standards, and healthcare compliance regulations.
- Ability to navigate insurance claims processing, medical billing workflows, and collection strategies effectively.
- Prior experience working in a medical office setting or healthcare environment is highly preferred.
- Strong attention to detail, organizational skills, and the ability to work independently or as part of a team.
Embark on a rewarding career path where your expertise directly impacts patient care efficiency while advancing your skills in medical coding and billing!
Pay: $24.84 - $29.92 per hour
Work Location: In person
