medical biller/coder

Encore Physical Therapy and Chiropractic

<p><b>Job Overview</b><br/>We are seeking a detail-oriented and motivated Medical Biller/Coder to join our healthcare team. In this vital role, you will be responsible for accurately coding medical procedures and diagnoses, preparing and submitting insurance claims, and ensuring timely collection of payments. Your expertise will help streamline billing processes, improve revenue cycle management, and support our commitment to delivering exceptional patient care. This position offers an exciting opportunity to apply your medical coding knowledge and billing skills in a fast-paced, dynamic environment dedicated to healthcare excellence.</p><p><b>Responsibilities</b></p><ul><li>Review and interpret medical records to assign appropriate ICD-9, ICD-10, CPT (Current Procedural Terminology), and DRG (Diagnosis-Related Group) codes accurately.</li><li>Prepare, submit, and follow up on insurance claims using Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems.</li><li>Verify patient insurance coverage and eligibility prior to billing.</li><li>Ensure compliance with healthcare regulations and coding guidelines to maximize reimbursement.</li><li>Manage accounts receivable by performing medical collections and resolving billing discrepancies promptly.</li><li>Maintain detailed and organized medical records, including documentation of coding decisions and billing activities.</li><li>Collaborate with healthcare providers to clarify documentation or coding issues as needed for accurate billing.</li></ul><p><b>Experience</b></p><ul><li>Proven experience in medical billing and coding within a healthcare setting.</li><li>Strong knowledge of medical terminology, anatomy, and physiology relevant to coding practices.</li><li>Familiarity with ICD-9, ICD-10, CPT coding systems, as well as DRG classifications.</li><li>Experience working with EMR/EHR systems for claim submission and record management.</li><li>Understanding of medical records management, insurance processes, and collection procedures.</li><li>Ability to interpret complex medical documentation and translate it into accurate codes.</li><li>Excellent attention to detail, organizational skills, and ability to work efficiently under deadlines. Join us in making a difference by ensuring our patients&rsquo; billing processes are seamless, accurate, and compliant! This role is perfect for professionals passionate about healthcare administration who thrive in a lively environment dedicated to excellence in medical services.</li></ul><p>Job Type: Full-time</p><p>Pay: From $25.00 per hour</p><p>Work Location: In person</p>

Medical Biller/Coder

CAROLINA MACULAR AND RETINAL CARE

<div><div><div><b>Benefits:</b></div>
<ul><li>Competitive salary</li>
<li>Dental insurance</li>
<li>Flexible schedule</li>
<li>Free food &amp; snacks</li>
<li>Free uniforms</li>
<li>Health insurance</li>
<li>Paid time off</li>
<li>Training &amp; development</li>
<li>Tuition assistance</li>
<li>Vision insurance</li>
</ul></div><div><div><b>Pay:</b> $20.00 - $25.00 per hour<br>
</div><div><b>Job description:</b><br>
</div><div>Mount Pleasant, SC<br>
$20&ndash;$25 per hour<br>
</div><div>Full-Time | No Weekends<br>
</div><div>Our growing ophthalmology retina practice in Mount Pleasant, SC is seeking an energetic, detail-oriented Medical Biller &amp; Coder to join our team. This role is ideal for someone with ophthalmology or optometric billing experience who enjoys working in a fast-paced healthcare environment and takes pride in accuracy and organization.<br>
</div><div>You will play an important role in the financial health of the practice by ensuring accurate coding, timely claims submission, and effective insurance follow-up. This position offers stable hours, a supportive team environment, and the opportunity to expand your skills in a physician-led specialty practice.<br>
</div><div>Experience with Athena Practice Management System is preferred.<br>
</div><div>Responsibilities<br>
</div><div>Insurance &amp; Payer Knowledge<br>
</div><ul><li>Understand insurance policy guidelines including <b>COB, referrals, prior authorizations, and insurance portals</b>
</li><li>Knowledge of <b>Medicare, Medicaid, and commercial payer billing rules and regulations</b>
</li><li>Communicate with insurance companies to resolve claim issues</li>
</ul><div>Charge Entry &amp; Coding<br>
</div><ul><li>Accurate <b>charge entry and data entry</b>
</li><li>Apply appropriate <b>ICD-10 and CPT coding guidelines</b>
</li><li>Maintain compliance with current coding initiatives and payer policies</li>
</ul><div>Claims Processing<br>
</div><ul><li>Submit <b>electronic and paper claims</b>
</li><li>Review and follow up on <b>denied, incorrect, or unpaid claims</b>
</li><li>Submit <b>corrected claims, reconsiderations, and appeals</b>
</li></ul><div>Accounts &amp; Reporting<br>
</div><ul><li>Work <b>insurance and patient delinquent accounts</b>
</li><li>Monitor aging reports</li>
<li>Assist in creating or using <b>daily, weekly, monthly, and annual reports</b>
</li></ul><div>Customer Service &amp; Team Support<br>
</div><ul><li>Answer billing questions from <b>patients, team members, and insurance companies</b>
</li><li>Maintain professional communication with patients and staff</li>
<li>Assist with <b>front desk responsibilities or workflow support when needed</b>
</li></ul><div>Qualifications<br>
</div><ul><li><b>1+ year ophthalmology or medical billing experience preferred</b></li>
<li>Strong knowledge of <b>CPT, ICD-10, and insurance billing procedures</b>
</li><li>Familiarity with <b>Medicare, Medicaid, and commercial payers</b>
</li><li>Experience using <b>Athena Practice Management System preferred</b>
</li><li>Strong attention to detail and accuracy</li>
<li>Excellent communication and organizational skills</li>
<li>Reliable transportation</li>
<li>Flexible team player willing to assist where needed</li>
</ul><div>Compensation<br>
</div><ul><li><b>$20&ndash;$25/hour depending on experience</b></li>
<li>Opportunities for <b>performance-based pay increases and skill development</b>
</li></ul><div>Benefits<br>
</div><ul><li>Monday through Friday schedule</li>
<li><b>No weekends</b></li>
<li>Paid time off (PTO)</li>
<li>Paid holidays</li>
<li>Simple IRA with <b>3% employer match</b>
</li><li>Profit sharing opportunities</li>
<li>Health, dental, and vision insurance</li>
<li>Uniforms provided</li>
<li>Free lunches provided in the office</li>
<li>Supportive small team environment</li>
</ul><div>Schedule<br>
</div><div>Full-time preferred (5 days/week).<br>
</div><div>Location<br>
</div><div>Mount Pleasant, SC<br>
</div><div>Job Type: Full-time<br>
</div><div>Application Question(s):<br>
</div><ul><li>Do you have ophthalmology or optometry billing experience?</li>
<li>How many years of medical billing experience do you have?</li>
<li>How comfortable are you with CPT and ICD-10 coding?</li>
<li>Have you used Athena Practice Management System before?</li>
</ul><div>Work Location: In person</div></div></div>

Ophthalmology Medical Biller & Coder

CEDARS HEART CLINIC

<p><b>Medical Biller &ndash; Cardiology Practice</b></p><p>We are seeking a qualified and detail-oriented <b>Medical Biller</b> to join our administrative team. This role requires strong analytical skills, attention to detail, and the ability to make sound decisions in a fast-paced healthcare environment.</p><p><b>Key Responsibilities:</b></p><ul><li>Review and analyze patient accounts for accurate billing and reimbursement</li><li>Verify insurance eligibility and benefits</li><li>Post charges and ensure accurate claim submission</li><li>Manage patient collections and generate patient statements</li><li>Follow up on outstanding claims, aging reports, and denials</li><li>Identify and resolve billing discrepancies in a timely manner</li><li>Communicate effectively with insurance companies and patients</li></ul><p><b>Qualifications:</b></p><ul><li>Previous experience in medical billing required</li><li>Cardiology billing experience strongly preferred</li><li>Strong understanding of insurance verification and claims processing</li><li>Experience working with aging reports and denial management</li><li>Excellent organizational and problem-solving skills</li><li>Ability to work independently and as part of a team</li></ul><p><b>Why Join Us:</b></p><ul><li>Supportive and professional work environment</li><li>Opportunity to work with an established cardiology practice</li><li>Competitive compensation based on experience</li></ul><p>Job Type: Full-time</p><p>Pay: $20.00 - $28.00 per hour</p><p>Benefits:</p><ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Experience:</p><ul><li>ICD-10: 4 years (Preferred)</li><li>Medical billing: 5 years (Required)</li></ul><p>Work Location: In person</p>

Medical Biller/Collector/Coder

Salina Family Healthcare Center

<div><p><b>Please note that this is an in-person, non-remote position.</b></p><p></p><p><i><br>
Hiring Range - $18.50 - 21.15\hour</i></p><p></p><p><br>
FLSA Status: Non-Exempt</p><p></p><p><br>
Coder/Biller I General Description</p><br>
<p>
The Coder/Biller I provides coding and insurance support to the Billing Department and demonstrates understanding of health insurance, Medicare, Medicaid, FQHC nuances and the SFHC discount program to ensure the integrity of claims &amp; maximize reimbursement. May screen patients and assist the uninsured with enrolling in applicable discount/insurance programs. If applicable would need to meet requirements and competencies to be designated as a &ldquo;Certified Application Counselor or Navigator&rdquo; under CMS/HRSA definition. May be required to meet performance standards of Presumptive Eligibility Specialist to enroll qualified pregnant women and children in Kansas Medicaid.</p><p></p><p><br>
Mission &amp; Value Statements<br>
The mission of Salina Family Healthcare Center is to serve our community at the crossroads of compassionate healthcare and professional education.</p><p></p><p><br>
Salina Family Healthcare Center is guided by the following fundamental values:</p>
<ul>
<li>Excellence;</li>
<li>Innovation;</li>
<li>Access;</li>
<li>Teamwork;</li>
<li>Equal dignity;</li>
<li>Education;</li>
<li>Ethics &amp; integrity;</li>
<li>Patient-centered.</li></ul><br>
<p></p>
<p>
Coder/Biller I Essential Duties</p>
<div>
<ul><li>Efficient timely review of patient charges prior to creating claims for accuracy and completeness; obtain/correct any missing information to reduce claim denial prior to creating claims; including orchard and non-billable holds as a priority.</li></ul>
<ul><li>Accurately review /code encounters for appropriate diagnosis (ICD10), procedures (CPT), HCPCS codes and modifiers prior to billing claims to maximize reimbursement.</li></ul>
<ul><li>Demonstrates and maintains working knowledge of third-party payer regulations and claim policies to include FQHC, Medicare and Medicaid, 340B, Lab NCD &amp; LCD as well as SFHC discount program to accurately submit claims.</li></ul>
<ul><li>Assist with reducing claim denials.</li></ul>
<ul><li>Monitor, identify, research and resolve outstanding unpaid claims.</li></ul>
<ul><li>Ensure the Discount Program integrity by updating claims as well as appropriate practice management systems accurately &amp; timely.</li></ul>
<ul><li>Meet requirements and competencies to be designated as a &ldquo;certified application counselor or Navigator&rdquo; under CMS/HRSA definition, if applicable.</li></ul>
<ul><li>Obtain Presumptive Eligibility Specialist designation and meet performance standards as outlined by KDHE-DHCF in order to enroll our pregnant women and children that are eligible in Kansas Medicaid if applicable.</li></ul>
<ul><li>Attend meetings as required.</li></ul>
<ul><li>Perform other duties as assigned.</li></ul></div><br>
<p></p>
<p>
Coder/Biller I Skills Required<br>
<br>
</p><div><ul><li>Ability to establish and maintain effective working relationships with staff, patients and the public.<br>
</li></ul>
<ul><li>Knowledge of HIPAA privacy rules and regulations.</li></ul>
<ul><li>Excellent interpersonal, mathematical, verbal and written communication skills.</li></ul>
<ul><li>Ability to efficiently complete work is reasonably void of errors, and high in accuracy.</li></ul>
<ul><li>Excellent customer service skills and ability to effectively and respectfully interact with unsatisfied patients and coworkers.</li></ul>
<ul><li>Ability to manage multiple tasks, work under pressure, and prioritize workload, while maintaining efficiency and accuracy.</li></ul>
<ul><li>Effective and efficient time management and organizational skills.<br>
</li></ul>
<ul><li>Ability to follow written policies and procedures.</li></ul>
<ul><li>Ability to work independently and use good judgment.</li></ul></div><br>
<p></p>
<p>
Coder/Biller I Education and Experience</p><br>
<div>
<ul><li>High school diploma required;</li></ul>
<ul><li>Certified Professional Coder (CPC) OR equivalent of two years coding and insurance in a medical related field;</li></ul>
<ul><li>Excellent organization, prioritization, and follow-up skills required;<br>
</li></ul>
<ul><li>Requires knowledge of ICD10, CPT and HCPCS Coding;</li></ul>
<ul><li>Social and cultural sensitivity appropriate to ethnically and economically diverse patient and employee-base.</li></ul></div><br>
<p></p>
<p>
To see the full job description, please email careers@salinahealth.org with your requests.</p></div>

Coder/Biller I (In-Person Only Position)

True Vision

<p><b>Overview</b><br/>Join our busy Optometry office team as a Medical Coder and Biller, where you will play a vital role in ensuring accurate medical coding and efficient billing processes. We value energetic, detail-oriented professionals eager to make a meaningful impact in the healthcare industry.</p><p><b>Duties</b></p><ul><li>Reviewing chart notes and filing appropriate insurance claims for medical and vision insurance.</li><li>Posting insurance payments daily</li><li>Creating and reviewing A/R reports related to the practice, regularly</li><li>Assign denied claims to appropriate staff</li><li>Scanning EOB's after posting</li><li>Answer phones as needed</li><li>Assist in daily office duties as required</li><li>Must always represent the practice in a professional, pleasant, and cooperative manner</li><li>Must be able to work both independently and cooperatively in team setting</li></ul><p><b>Experience</b></p><ul><li>At least 1 year of medical billing/coding experience or medical billing/coding certification required.</li></ul><p>Pay: $14.00 - $16.00 per hour</p><p>Benefits:</p><ul><li>Employee discount</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Work Location: In person</p>

Medical Coder and Biller

Dermatology and Skin Surgery Center of Cape Cod P.C.

<p><b>Job Summary</b><br/>We are seeking a dedicated and detail-oriented medical biller and coder to join our dynamic healthcare team. This role combines clinical expertise with advanced coding skills to ensure accurate medical documentation, billing, and reimbursement processes. The ideal candidate will be passionate about delivering quality patient care through precise coding and thorough record management, contributing to the efficiency and integrity of our medical operations. This position offers an exciting opportunity to work with cutting-edge EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems, supporting seamless communication across healthcare providers.</p><p>We utilize AthenaNet for medical billing and practice management. Experience with Athena is not require but is highly beneficial</p><p><b>Duties</b></p><ul><li>Review and interpret medical documentation to assign appropriate diagnosis and procedure codes using DRG (Diagnosis-Related Group), CPT (Current Procedural Terminology),ICD-10, and ICD coding standards.</li><li>Ensure accurate coding for medical billing, insurance claims, and reimbursement processes in compliance with current regulations.</li><li>Maintain comprehensive and organized medical records, including detailed documentation of diagnoses, procedures, and treatment plans.</li><li>Collaborate with healthcare providers to clarify documentation discrepancies and improve coding accuracy.</li><li>Utilize EMR and EHR systems efficiently to input, update, and retrieve patient information while maintaining confidentiality.</li><li>Conduct thorough audits of medical records for completeness and correctness, supporting medical collection efforts when necessary.</li><li>Stay current with evolving medical coding guidelines, industry best practices, and regulatory requirements to ensure ongoing compliance.</li></ul><p><b>Qualifications</b></p><ul><li>Proven experience in medical office settings with strong familiarity in medical billing, collections, and record management.</li><li>Expertise in DRG, CPT coding, ICD-10, and ICD coding standards.</li><li>Solid understanding of medical terminology and healthcare documentation practices.</li><li>Proficiency in using EMR (Electronic Medical Records) systems and EHR (Electronic Health Records) platforms.</li><li>Knowledge of medical records management and the ability to navigate complex coding procedures accurately.</li><li>Excellent attention to detail with strong organizational skills to handle multiple tasks efficiently.</li><li>Ability to adapt quickly to new technologies and stay updated on industry regulations related to medical coding. Join us in this vital role where your expertise directly impacts patient care quality and operational excellence! We value motivated professionals eager to make a difference through precise coding, meticulous recordkeeping, and collaborative teamwork in a fast-paced healthcare environment.</li></ul><p>Pay: $25.00 - $34.00 per hour</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Health insurance</li><li>Paid time off</li><li>Referral program</li><li>Retirement plan</li></ul><p>Work Location: In person</p>

Biller and coder

Affinia Healthcare

<div>
 <strong>
  Position Summary:
 </strong>
 Verifies and ensures the accuracy, completeness, specificity and appropriateness of diagnosis codes on services rendered. Complete appropriate paperwork/documentation/system entry regarding claim and encounter information. Support and participate in process and quality improvement initiatives. Assist with clinician billing and documentation training.
 <br/>
 <br/>
 <strong>
  Education:
 </strong>
 Requires an associate degree from Accredited Heath Information Technology program, Bachelor's degree preferred. Coding certificate with AHIMA approval status. RHIA, RHIT, CCS or CCS-P certification status required.
 <br/>
 <br/>
 <strong>
  Experience
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Three (3) years' experience as a Certified Medical Biller/Coder Experience at a Federally Qualified Health Center (FQHC) preferred.
  </li>
  <li>
   Lab coding experience required.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Skills And Abilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Strong written and verbal communication skills, strong analytical skills, organizational and time management skills .
  </li>
  <li>
   Knowledge and experience in a healthcare environment of billing and reimbursement of Medicaid, Medicare and other
  </li>
  <li>
   Knowledge of LCD/NCD coding policies regarding Laboratory Services
  </li>
  <li>
   Ability to devise training materials to teach staff correct
  </li>
  <li>
   Professional demeanor and appearance, strong ethics, team player with positive attitude.
  </li>
  <li>
   Strong knowledge of Microsoft XP products(Word, Excel, and PowerPoint)
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Transportation Requirement:
 </strong>
 None
 <br/>
 <br/>
 <strong>
  License(s)/Certification(s) Required:
 </strong>
 HIA, RHIT, CCS or CCS-P certification status required.
 <br/>
 <br/>
 <strong>
  Essential Functions
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Reviews medical record documentation to identify all services provided by
  </li>
  <li>
   Renews appropriate CPT-4 procedure code(s) to accurately report the clinician services provided to
  </li>
  <li>
   Renews appropriate ICD-10 diagnosis code(s) to accurately support the need for each clinician service.
  </li>
  <li>
   Assists with the submission of billing
  </li>
  <li>
   Obtains and submits copies of medical documentation with clinician charges to support billing to third party
  </li>
  <li>
   Identifies clinician services provided but not adequately documented in the medical advise supervisor and clinicians of deficiencies to support charge capture of all billing services.
  </li>
  <li>
   Analyzes and resolves clinician claim rejects and denials from the billing system or insurance carriers related to coding
  </li>
  <li>
   Assists with clinician billing and documentation training in daily interactions with clinicians and other routine training
  </li>
  <li>
   Compiles monthly reports as
  </li>
  <li>
   Identifies trends/problems in medical documentation and recommends possible solutions.
  </li>
  <li>
   Provides training support to billing department in handling of rejections and denials of
  </li>
  <li>
   Correction and submission of reference lab billing requests.
  </li>
  <li>
   Performs other duties as assigned.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Marginal Functions
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Assists in audits.
  </li>
  <li>
   Codes input forms as required.
  </li>
  <li>
   Provides backup support to billing department.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Supervises:
 </strong>
 None
 <br/>
 <br/>
 <strong>
  NOTE: SMOKING IS PROHIBITED IN THE WORK ENVIRONMENT
  <br/>
  <br/>
 </strong>
 <strong>
  NOTE: ALL APPLICANTS MUST PROVIDE CONTACT INFORMATION FOR THREE REFERENCES
  <br/>
  <br/>
 </strong>
 <strong>
  AN EQUAL OPPORTUNITY SERVICES PROVIDED ON A NON-DISCRIMINATORY BASIS
 </strong>
</div>


Certified Medical Coder

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