Medical Billing and Coding Specialist

Overview
Join our dynamic healthcare team as a Medical Billing and Coding Specialist, where your expertise will drive accurate reimbursement processes and ensure seamless management of medical records. In this vital role, you will utilize your knowledge of medical coding systems, billing procedures, and healthcare documentation to support efficient revenue cycle management. Your energetic approach and attention to detail will contribute to delivering exceptional service to patients and providers alike, fostering a positive impact on overall healthcare delivery.

Responsibilities

• Review and analyze medical records to assign appropriate ICD-10 (International Classification of Diseases, Tenth Revision), CPT (Current Procedural Terminology), and DRG (Diagnosis-Related Group) codes for diagnoses and procedures
• Prepare and submit accurate insurance claims using Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems, ensuring compliance with payer requirements
• Follow up on unpaid or denied claims through effective medical collection strategies, resolving discrepancies promptly
• Maintain comprehensive and organized medical records, ensuring all documentation aligns with medical terminology standards and coding guidelines
• Collaborate with healthcare providers to clarify documentation and ensure precise coding for billing purposes
• Stay updated on changes in ICD coding standards (ICD-9 to ICD-10 transition), CPT coding updates, and evolving regulations affecting medical billing practices
• Assist in auditing medical records for accuracy and completeness to support compliant billing processes

Skills

• Strong knowledge of ICD-10, ICD-9, CPT coding, DRG classifications, and ICD coding standards
• Proficiency with EMR/EHR systems used in healthcare settings for documentation and billing processes
• Excellent understanding of medical terminology, medical records management, and healthcare documentation practices
• Experience with medical billing procedures, including claim submission and follow-up processes
• Ability to interpret complex medical information accurately for coding purposes
• Familiarity with medical collection techniques and insurance reimbursement protocols
• Exceptional attention to detail, organizational skills, and ability to work efficiently in a fast-paced environment

This role offers an exciting opportunity for motivated professionals eager to make a meaningful difference in healthcare administration. If you thrive on precision, enjoy working with detailed information, and are passionate about supporting healthcare providers through expert billing and coding practices, we want to hear from you!

Pay: $24.51 - $29.52 per hour

Work Location: Remote