What are the responsibilities and job description for the Medical Billing and Coding Specialist position at Cardiovascular Care PA?
Job Summary
We are seeking a detail-oriented and energetic Medical Billing and Coding Specialist to join our dynamic healthcare team. In this role, you will be responsible for accurately coding medical procedures and diagnoses, managing billing processes, and ensuring seamless revenue cycle management. Your expertise will help optimize insurance claim submissions, improve cash flow, and support the delivery of high-quality patient care. This position offers an exciting opportunity to work with cutting-edge electronic health record (EHR) systems and contribute to efficient healthcare operations.
Duties
- Assign appropriate ICD-10, ICD-9, CPT (Current Procedural Terminology), and DRG (Diagnosis-Related Group) codes to medical records based on detailed review of clinical documentation.
- Prepare and submit accurate insurance claims using billing software and electronic health record (EHR) systems, ensuring compliance with medical coding guidelines.
- Review medical records for completeness and accuracy, verifying that all necessary documentation supports billed procedures and diagnoses.
- Follow up on unpaid or denied claims by communicating with third-party payers and health insurance companies to facilitate timely payment.
- Maintain detailed records of billing activities, insurance claims, payments, and adjustments within the revenue cycle management system.
- Stay current with evolving medical coding standards, including ICD-10/ICD-9 updates, CPT coding changes, and health insurance claim processing requirements.
- Collaborate with healthcare providers to clarify documentation discrepancies and ensure proper coding for inpatient services and outpatient procedures.
Requirements
- Proven experience in medical billing and coding within a healthcare setting, with a strong understanding of medical terminology and records management.
- Proficiency in billing software, EMR/EHR systems, and electronic health record management for billing and coding purposes.
- Knowledge of medical coding guidelines for inpatient services, outpatient procedures, and diagnostic coding including ICD-10/ICD-9/DRG classifications.
- Familiarity with health insurance policies, third-party billing processes, revenue cycle management, and insurance claim processing.
- Strong attention to detail with the ability to interpret complex clinical documentation accurately.
- Excellent communication skills to collaborate effectively with healthcare providers, insurance companies, and patients.
- Ability to stay organized in a fast-paced environment while adhering to strict deadlines.
Join us as a Medical Billing and Coding Specialist to play a vital role in streamlining healthcare revenue processes! Bring your expertise in ICD coding, medical terminology, EMR/EHR systems, and insurance claim processing to help us deliver exceptional service while advancing your career in a supportive environment dedicated to professional growth.
Pay: $21.00 - $23.00 per hour
Expected hours: 40.0 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Work Location: Hybrid remote in Wichita, KS 67214
Salary : $21 - $23