Medical Coder/Biller

Our goal is to provide an outstanding medical and professional service to our patients and their families, clinicians, community, and co-workers. No matter what your role, as a member of the Ambulatory Surgery Center, you are a specialist in making every patient and family feel right at home, every co-worker a key to our success, and every referring practice, a team of prized colleagues. Our culture is of utmost importance to us. If helping others is truly your calling, we would love to have you join us. If you are seeking a fast-paced, challenging position in an organization committed to achieving and maintaining a standard of excellence in all we do, please look no further.

Summary

The Medical Coder is responsible for translating medical diagnoses, procedures, and services into standardized codes used for billing, insurance claims, and record-keeping. The role involves reviewing medical records, assigning the correct codes using ICD-10 (International Classification of Diseases), CPT (Current Procedural Terminology), and HCPCS (Healthcare Common Procedure Coding System), and ensuring compliance with regulatory requirements. The Medical Coder will work closely with healthcare providers, insurance companies, and other administrative staff to ensure the accurate submission of claims and reimbursement.

Responsibilities:

• Code Medical Records: Accurately assign ICD-10, CPT, and HCPCS codes to diagnoses, procedures, and services documented in patients' medical records.
• Review Documentation: Analyze patient charts and medical records to ensure proper coding and to verify completeness and accuracy of medical information.
• Claims Submission: Submit coded data for billing purposes to insurance companies and third-party payers, ensuring timely and accurate claims processing.
• Compliance & Accuracy: Maintain knowledge of federal, state, and payer-specific coding regulations, guidelines, and policies to ensure compliance with all applicable standards (e.g., HIPAA, CMS, insurance requirements).
• Audit Support: Assist with internal and external coding audits to ensure accuracy, proper documentation, and reimbursement for services rendered.
• Identify Coding Errors: Detect and correct coding errors or discrepancies in medical records and work with healthcare providers to clarify or resolve issues.
• Stay Current with Coding Updates: Continuously update knowledge of new coding practices, procedures, and medical technologies by attending relevant training and professional development sessions.
• Communication: Collaborate with physicians, healthcare providers, and billing supervisor to ensure accurate coding, proper documentation, and timely processing of claims.

Key Competencies:

• Must be analytical and self-motivated.
• Punctuality and reliability.
• Verbal and written communication skills.
• Exceptional customer service skills, over the phone and in person.
• Professional personal presentation.
• Organizing, planning and multi-tasking.
• Attention to detail.
• Strong problem solver.
• Should ensure the efficient and smooth day-to-day operation of the office.

Experience:

• Must have a minimum of 3-5 years Experience coding from op reports for the purpose of reimbursement, and compliance by assigning ICD-10 and CPT codes.
• Familiarity with medical terminology, anatomy, and procedures is highly advantageous.

Job Type: Full-time

Pay: From $25.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Work Location: In person

Salary : $25