Bilingual Medical Billing and Coding Specialist

Overview
Join our integrative healthcare team at OIH as a Bilingual (Spanish/English) Medical Billing and Coding Specialist, where your expertise will drive accurate reimbursement processes and ensure seamless medical record management. In this vital role, you will leverage your bilingual skills to bridge communication gaps, assist diverse patient populations, and uphold the highest standards of medical coding and billing accuracy. Your proactive approach will contribute to a smooth revenue cycle, supporting both patient care and organizational efficiency. This salary paid position offers an exciting opportunity to grow your career in a fast-paced, rewarding environment dedicated to excellence in healthcare administration. Required work hours are 9am-6pm, Monday through Friday. We offer generous PTO and optional AFLAC plans along with an infrared sauna and monthly lunch and learns/staff meetings.

Responsibilities

• Review and interpret medical documentation to assign appropriate ICD-10 (International Classification of Diseases, 10th Revision) diagnosis codes, CPT (Current Procedural Terminology) procedure codes, and DRG (Diagnosis-Related Group) classifications for billing accuracy.
• Ensure proper coding of chiropractic and mental health/psychiatric services using ICD-9 (International Classification of Diseases, 9th Revision) where applicable, alongside current ICD-10 standards.
• Prepare and submit clean claims for insurance reimbursement using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems while adhering to payer guidelines.
• Follow up on unpaid or denied claims through effective medical collection strategies, maintaining detailed records of all billing activities.
• Verify patient insurance coverage, ensure required prior authorization before certain procedures, explain billing procedures bilingually, and assist patients with questions related to their medical records or bills.
• Maintain comprehensive and accurate medical records by organizing documentation related to medical coding, billing transactions, and patient information.
• Stay current with updates in medical terminology, coding regulations, and compliance standards to ensure ongoing accuracy and adherence to industry best practices.
• Complete receptionist duties as needed (lunch breaks, when billing tasks are completed).

<Skills>

• Strong knowledge of ICD-10/ICD-9 coding systems and CPT coding procedures for precise billing, particularly with chiropractic and behavioral health billing codes.
• Experience with medical billing software, EMR systems, and EHR platforms for efficient claim processing (Jane, Practice Fusion, and Therapy Notes are used at this office).
• Excellent understanding of medical terminology and healthcare documentation standards.
• Ability to communicate fluently in two languages, providing clear explanations to patients and team members alike.
• Knowledge of medical records management and compliance regulations related to privacy and security.
• Proven ability to navigate complex insurance policies, perform effective medical collections, and resolve billing discrepancies promptly. Embark on a fulfilling career where your bilingual skills make a real difference! We’re committed to fostering an inclusive environment that values precision, integrity, and continuous learning—empowering you every step of the way in your professional journey.

Pay: From $23.00 per hour

Benefits:

• Paid time off

Education:

• High school or equivalent (Required)

Experience:

• medical billing and collections: 2 years (Required)

Language:

• Spanish (Required)

Shift availability:

• Day Shift (Required)

Work Location: In person