Job Overview
We are seeking a highly skilled and detail-oriented Certified Medical Billing Coding Specialist to join our healthcare administration team. The ideal candidate will possess comprehensive knowledge of medical billing and coding procedures, with a focus on accurate and efficient processing of medical claims. This role involves managing the entire revenue cycle, ensuring compliance with industry standards, and supporting the financial health of healthcare providers through precise coding and billing practices. The successful candidate will demonstrate proficiency in electronic health records (EHR) systems, medical terminology, and insurance claim submissions, contributing to seamless billing operations and optimal reimbursement.
Duties
- Accurately assign CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding to medical diagnoses and procedures in accordance with CMS (Centers for Medicare and Medicaid Services) guidelines.
- Review and abstract information from medical records to ensure completeness and correctness for billing purposes.
- Submit clean claims electronically through EHR (Electronic Health Record) systems and other billing platforms to facilitate prompt reimbursement.
- Manage the entire revenue cycle process, including claim follow-up, denials management, and appeals to maximize collections.
- Collaborate with healthcare providers to clarify documentation requirements and ensure proper coding practices are followed.
- Maintain up-to-date knowledge of industry regulations, including changes in CMS policies, ICD coding updates, and compliance standards.
- Perform medical record abstraction for audit purposes and data analysis to support accurate billing practices.
- Assist in training staff on new coding protocols, EHR system updates, and best practices in medical billing.
Skills
- Extensive knowledge of CPT coding, ICD-9, ICD-10 coding systems, and DRG (Diagnosis-Related Group) classifications.
- Proficiency in medical terminology, anatomy, physiology, and healthcare documentation standards.
- Experience with electronic health records (EHR) systems and electronic health record (EHR) management for billing and coding processes.
- Strong understanding of revenue cycle management principles including claims submission, payment posting, collections, and denials management.
- Ability to interpret complex medical records accurately for proper coding and billing purposes.
- Familiarity with medical office operations, insurance procedures, and compliance regulations related to healthcare reimbursement.
- Excellent organizational skills with attention to detail to ensure accuracy in all aspects of medical billing and coding tasks.
Join our team as a Certified Medical Billing Coding Specialist to play a vital role in ensuring efficient revenue cycle operations while supporting high-quality patient care through precise documentation and billing practices!
Pay: $23.70 - $28.54 per hour
Work Location: In person
