Medical Coder and Biller

Job Overview
Join our dynamic healthcare team as a Medical Coder and Biller, where you will play a vital role in ensuring accurate medical documentation, coding, and billing processes. This energetic position offers the opportunity to work with cutting-edge EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems, translating medical records into precise codes that facilitate seamless reimbursement and compliance. Your expertise will help streamline revenue cycle management while supporting our commitment to delivering exceptional patient care. If you thrive in a fast-paced environment and are passionate about accuracy and efficiency, this is your chance to make a meaningful impact in healthcare administration.

Duties

• Review medical records thoroughly to assign appropriate ICD-9, ICD-10, CPT (Current Procedural Terminology), and DRG (Diagnosis-Related Group) codes based on documented diagnoses, procedures, and treatments.
• Ensure coding accuracy by adhering to current coding guidelines, medical terminology standards, and payer requirements.
• Prepare and submit clean, complete medical claims for insurance reimbursement using advanced EMR/EHR systems.
• Follow up on unpaid or denied claims through effective medical collection practices to optimize revenue recovery.
• Maintain detailed and organized medical records, ensuring all documentation supports the coded diagnoses and procedures.
• Collaborate with healthcare providers to clarify documentation or resolve coding discrepancies promptly.
• Stay updated on changes in coding regulations, insurance policies, and healthcare compliance standards to ensure ongoing accuracy.

Experience

• Proven experience in medical coding and billing within a healthcare setting, with familiarity in DRG, CPT coding, ICD-9, ICD-10, and ICD coding systems.
• Strong understanding of medical terminology, anatomy, physiology, and disease processes to accurately interpret clinical documentation.
• Prior experience working with EMR/EHR systems for efficient data entry and claim submission.
• Knowledge of medical records management and compliance standards related to healthcare billing practices.
• Excellent attention to detail combined with active problem-solving skills to address billing issues effectively.
• Experience in medical collection processes is a plus, along with familiarity with insurance claim procedures.
• Ability to communicate clearly with healthcare providers and insurance representatives while maintaining professionalism. Embark on a rewarding career where your expertise directly contributes to efficient healthcare delivery!

Pay: $17.00 - $21.00 per hour

Benefits:

• 401(k)
• Paid time off

Work Location: In person