What are the responsibilities and job description for the Medical Coder and Biller position at Aldrich Cardiovascular Institute?
Overview
We are seeking a highly motivated and detail-oriented Medical Biller and Coder to join our primary care office team in Lakewood Ranch, FL. The ideal candidate will be responsible for ensuring the accuracy and completeness of all medical claims, from coding to submission and follow-up, to maintain the financial health of our practice. Experience working as a medical coder and biller in outpatient primary care or internal medicine is required.
Responsibilities
Medical Coding: Analyze patient medical records, including physicians' notes, diagnoses, and procedures, and translate them into appropriate CPT, ICD-10-CM, and HCPCS codes.
Claim Management: Prepare, scrub (audit for errors), and submit electronic and paper claims to various insurance payers (Medicare, Medicaid, commercial insurers, etc.) promptly.
Denial and Appeals Management: Monitor claim status, follow up on unpaid or denied claims, and prepare and submit appeals with necessary documentation to ensure maximum reimbursement.
Patient Billing & Support: Generate patient statements, manage account balances, set up payment plans, and respond to patient inquiries and complaints regarding billing and insurance coverage with professionalism and empathy.
Payment Posting: Accurately post insurance and patient payments and adjustments into the billing software/EMR system.
Compliance & Documentation: Ensure all coding and billing practices comply with federal and state regulations, including HIPAA guidelines. Conduct internal audits to ensure accuracy and documentation consistency.
Collaboration: Work closely with healthcare providers and clinical staff to obtain clarification on documentation, resolve discrepancies, and provide ongoing education on coding guidelines and documentation requirements.
Reporting: Generate reports on billing metrics, denial trends, and accounts receivable (A/R) status for management review.
Qualifications & Skills
Education: High school diploma or equivalent required; completion of a medical billing and coding program or an associate's degree in a related field is preferred.
Certifications: Current certification as a Certified Professional Coder (CPC) or a Certified Billing and Coding Specialist (CBCS) is required.
Experience: A minimum of 2 years of active medical billing and coding experience in a primary care or outpatient clinic setting is required.
Technical Skills:
Proficiency in medical billing software and Electronic Health Record (EHR) systems (experience with eClinicalWorks is a plus).
Strong working knowledge of CPT, ICD-10-CM, and HCPCS coding systems.
Proficiency with Microsoft Office applications, especially Excel and Outlook.
Soft Skills:
Exceptional attention to detail and strong analytical and problem-solving skills.
Excellent written and verbal communication skills to interact effectively with providers, insurance companies, and patients.
Strong organizational and time management skills to handle a high volume of work in a deadline-driven environment.
Ability to work independently and collaboratively as part of a team.
Knowledge of medical terminology, anatomy, and physiology.
Pay: $ $27.55 per hour
Work Location: In person
Salary : $57,120