Overview
Join our dynamic healthcare team as a Medical Coder and Biller, where your expertise will directly impact the accuracy and efficiency of medical billing processes. In this vital role, you will interpret and translate medical documentation into precise codes, ensuring compliance with industry standards and facilitating seamless reimbursement for healthcare providers. Your attention to detail and knowledge of coding systems will help maintain the integrity of medical records while supporting the financial health of our organization. This position offers an engaging opportunity to apply your coding skills in a fast-paced, rewarding environment dedicated to excellence in healthcare administration.
Responsibilities
- Review and analyze medical records, documentation, and physician notes to assign appropriate ICD-9, ICD-10, CPT (Current Procedural Terminology), and DRG (Diagnosis-Related Group) codes accurately.
- Ensure all coding aligns with current regulatory standards and payer requirements to optimize reimbursement processes.
- Prepare and submit clean, precise medical claims using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems, maintaining compliance with coding guidelines.
- Follow up on unpaid or denied claims through effective medical collection procedures, working closely with insurance companies and patients.
- Maintain detailed and organized medical records, ensuring confidentiality and adherence to HIPAA regulations.
- Collaborate with healthcare providers to clarify documentation discrepancies or incomplete information for accurate coding.
- Stay updated on changes in medical terminology, coding updates, and billing regulations through ongoing education.
Requirements
- Proven experience in medical coding and billing within a healthcare setting, with familiarity using EMR/EHR systems.
- Strong knowledge of ICD-9, ICD-10, CPT coding systems, DRG classifications, and medical terminology.
- Understanding of medical records management, documentation standards, and compliance protocols.
- Ability to interpret complex medical documentation accurately and efficiently.
- Excellent attention to detail with strong organizational skills to manage multiple claims simultaneously.
- Prior experience in medical collection processes is a plus.
- Certification in Medical Coding (such as CPC or CCS) is preferred but not mandatory; relevant training or coursework is acceptable. Embark on a rewarding career where your coding expertise supports quality patient care and operational excellence!
Pay: $22.74 - $27.38 per hour
Benefits:
- 401(k)
- Dental insurance
- Flexible schedule
- Health insurance
- Paid time off
Work Location: Hybrid remote in San Antonio, TX 78240