What are the responsibilities and job description for the Medical Billing and Coding Specialist position at Twin Lakes Orthopaedics & Sports Medicine?
Job Summary
We are seeking a detail-oriented and highly skilled Medical Billing and Coding Specialist to join our healthcare team. The ideal candidate will possess a comprehensive understanding of medical billing procedures, coding systems, and healthcare documentation standards. In this role, you will be responsible for accurately coding medical diagnoses and procedures, managing billing processes, and ensuring timely reimbursement from insurance providers. Your expertise will contribute significantly to the efficiency of our revenue cycle management while maintaining compliance with industry regulations.
Duties
- Review and interpret medical records to assign appropriate ICD-9, ICD-10, CPT (Current Procedural Terminology), and DRG (Diagnosis-Related Group) codes accurately.
- Prepare and submit claims using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems, ensuring adherence to payer requirements.
- Follow up on unpaid or denied claims through effective medical collection strategies to optimize revenue recovery.
- Maintain detailed and organized medical records, ensuring all documentation supports coding accuracy and compliance standards.
- Collaborate with healthcare providers to clarify documentation discrepancies and improve coding precision.
- Stay current with updates in medical terminology, coding guidelines, and insurance policies to ensure ongoing compliance.
- Assist in audits by providing detailed reports of billing activities and coding practices.
- Contribute to process improvements within the billing cycle to enhance efficiency and reduce errors.
Qualifications
- Proven experience in medical billing, coding, or a related healthcare administrative role with familiarity in medical office environments.
- Proficiency with EMR and EHR systems for documentation management and claim submission.
- Excellent understanding of medical terminology, medical records management, and healthcare reimbursement processes.
- Ability to interpret complex medical documentation accurately for proper coding assignments.
- Familiarity with medical collection procedures and insurance claim follow-up practices.
- Knowledge regarding prior authorizations
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Work Location: In person