Job Summary
We are seeking a detail-oriented and motivated Medical Billing and Coding Specialist to join our healthcare team. In this role, you will be responsible for accurately coding medical procedures and diagnoses, managing billing processes, and ensuring timely submission of insurance claims. Your expertise will help optimize revenue cycle management, improve cash flow, and ensure compliance with medical coding guidelines. This position offers an exciting opportunity to contribute to efficient healthcare operations while working with advanced EMR (Electronic Medical Records) and EHR (Electronic Health Record) systems.
Duties
- Review and analyze medical records to assign appropriate ICD-10, ICD-9, CPT, and DRG codes in accordance with medical coding guidelines.
- Prepare and submit accurate insurance claims using billing software, ensuring compliance with health insurance policies and third-party payer requirements.
- Manage the entire revenue cycle process from patient registration, insurance verification, to payment posting and follow-up on unpaid claims.
- Collaborate with healthcare providers to clarify documentation and ensure proper coding for inpatient and outpatient services.
- Maintain detailed and organized medical records, ensuring all billing data aligns with medical records for audit readiness.
- Stay current with updates in medical coding standards, health insurance policies, and billing regulations to ensure ongoing compliance.
- Assist in resolving billing discrepancies or denials related to insurance claim processing or coding errors.
Requirements
- Proven experience in medical office settings with a strong understanding of medical terminology, medical records management, and billing procedures.
- Proficiency in EMR/EHR systems and billing software; experience with electronic health record management for billing and coding is essential.
- In-depth knowledge of ICD-10, ICD-9, CPT coding systems, as well as DRG classifications used for inpatient services.
- Familiarity with health insurance claim processing, third-party billing practices, and revenue cycle management strategies.
- Strong understanding of medical coding guidelines for inpatient and outpatient services; ability to code accurately using ICD coding standards.
- Excellent attention to detail with the ability to interpret complex medical documentation accurately.
- Effective communication skills for collaborating with healthcare providers, insurance companies, and patients.
Join our team as a Medical Billing and Coding Specialist if you are passionate about accuracy, efficiency, and contributing to quality healthcare delivery! We value your expertise in navigating the complexities of medical coding and billing while supporting the financial health of our organization.
Pay: $18.00 per hour
Work Location: In person
