Medical Coder and Biller

Overview

We are seeking a detail-oriented and highly skilled Medical Coder and Biller to join our healthcare team. The ideal candidate will possess a comprehensive understanding of medical coding, billing procedures, and insurance claim processing, ensuring accurate and efficient revenue cycle management. This role offers an opportunity to contribute to the financial health of the organization by translating medical records into precise billing data and facilitating timely reimbursement from third-party payers. The successful candidate will demonstrate proficiency in ICD-9, ICD-10, CPT coding, DRG classifications, and EMR/EHR systems, along with strong knowledge of health insurance policies and medical terminology.

Duties

• Review and analyze medical records to assign appropriate ICD-10 diagnosis codes, CPT procedure codes, and DRG classifications in accordance with current medical coding guidelines.
• Ensure accuracy in coding for inpatient services, outpatient visits, and procedures to facilitate correct billing and reimbursement.
• Prepare and submit detailed insurance claims using billing software and electronic health record (EHR) systems while verifying coverage and eligibility.
• Manage accounts receivable by following up on unpaid or denied claims through effective communication with insurance companies and third-party payers.
• Maintain comprehensive documentation of medical records, coding decisions, and billing activities to ensure compliance with regulatory standards.
• Collaborate with healthcare providers to clarify documentation discrepancies or ambiguities that impact coding accuracy.
• Stay current with evolving healthcare regulations, ICD updates (ICD-9 to ICD-10 transition), and coding guidelines to ensure compliance and optimal reimbursement.
• Assist in training staff on best practices for medical coding, billing procedures, and EHR/EHR system management to improve overall workflow efficiency.

Experience

• Proven experience in medical coding and billing within a healthcare setting, preferably with exposure to both inpatient and outpatient services.
• Strong knowledge of ICD-10, CPT coding systems, as well as DRG classification methodologies for hospital billing.
• Familiarity with electronic health record (EHR) systems, EMR/EHR management for billing and coding processes.
• Experience working with health insurance claim processing, revenue cycle management, and third-party billing practices.
• Demonstrated understanding of medical terminology, medical records management, and compliance with healthcare regulations.
• Ability to interpret medical documentation accurately while adhering to coding guidelines for accurate reimbursement.
• Knowledge of health insurance policies, claim adjudication processes, and denial management strategies is highly desirable.

Join our organization as a Medical Coder and Biller to play a vital role in ensuring precise financial operations while supporting quality patient care through meticulous documentation and coding excellence!

Pay: $23.97 - $28.86 per hour

Benefits:

• Dental insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person

Salary : $24 - $29