medical billing and coding specialist

Columbus Retina

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 be responsible for translating healthcare services into universally recognized codes, managing billing procedures, and maintaining precise medical documentation. Your energetic approach will help streamline operations, improve revenue cycles, and support excellent patient care. We are committed to fostering a positive work environment that values your skills and encourages professional growth.Responsibilities<ul><li>Review medical records and documentation to assign appropriate ICD-10 (International Classification of Diseases), CPT (Current Procedural Terminology), and DRG (Diagnosis-Related Group) codes accurately.</li><li>Ensure proper coding for diagnoses, procedures, and services using ICD-9, ICD-10, CPT coding systems, and medical terminology.</li><li>Prepare and submit clean claims for insurance reimbursement through Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems.</li><li>Follow up on unpaid claims and perform medical collections to optimize revenue recovery.</li><li>Verify patient insurance information, process payments, and handle billing inquiries professionally.</li><li>Maintain detailed and organized medical records in compliance with healthcare regulations and privacy standards.</li><li>Stay updated on changes in medical coding guidelines, insurance policies, and healthcare regulations to ensure compliance.</li></ul>Skills<ul><li>Strong knowledge of ICD-10, ICD-9, CPT coding systems, DRG classifications, and medical terminology.</li><li>Experience with medical billing processes and medical collection procedures.</li><li>Proficiency in EMR systems and EHR platforms for documentation and claim submission.</li><li>Familiarity with medical records management and healthcare compliance standards.</li><li>Ability to interpret complex medical documentation accurately for coding purposes.</li><li>Excellent attention to detail combined with active problem-solving skills to resolve billing issues efficiently.</li><li>Effective communication skills to collaborate with healthcare providers, insurance companies, and patients. Embark on a rewarding career that combines technical expertise with a passion for healthcare excellence! Your dedication will help improve operational efficiency while supporting patients&rsquo; access to quality care through precise billing and coding practices.</li></ul>Work Location: In person

Medical Billing and Coding Specialist

METRO XTRACARE PC

Medical Billing Specialist (Part-Time)Metro XtraCare PC is a primary and urgent care clinic providing quality healthcare to patients in Windsor Mill, Maryland. We are hiring an individual for the following role: Medical Billing Specialist (Part Time). The Medical Billing Specialist will perform administrative duties in a fast-paced environment.Our hours are Monday through Friday from 9:00am to 6:00pm and Saturday from 9:00am to 3:00pm. The Medical Billing Specialist will work in-person one day per week from 9:00am to 4:00pm. There will be potential to increase to two days per week if mutually agreeable.<ul><li>Correct, resubmit claims and/or appeal claim determinations as necessary to ensure payment (electronically and via mail)</li><li>Familiarity with EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems (experience with Athenahealth's billing system, specifically, is required)</li><li>Respond to patient billing inquiries via phone and email</li><li>Present oneself in a professional manner when speaking to patients, staff members, and insurance representatives</li><li>Prepare weekly reports indicating status of resubmitted/appealed claims</li><li>1-2+ years of medical billing and credentialing experience</li><li>Strong knowledge of DRG, CPT coding, ICD-9, ICD-10, and ICD coding systems.</li><li>Clear written and verbal communication in English</li><li>Proficient computer skills: Windows, Word, Excel, Outlook</li><li>Proficient mathematical skills</li><li>High school diploma or GED</li><li>Sharp attention to detail</li></ul>Pay: $21.00 - $24.00 per hourBenefits:<ul><li>Flexible schedule</li></ul>People with a criminal record are encouraged to applyWork Location: In person

Medical Billing Specialist (Part Time, 1 Day Per Week)

Spine Institute of Central Florida

Overview We are seeking a dedicated and detail-oriented Medical and Surgical Billing Specialist to become a vital part of our bustling Orthopaedic Spine healthcare team. As a Medical and Surgical Billing Specialist, you will utilize core skills in medical collection, EMR systems, and medical terminology to ensure accurate and timely billing processes for the clinic and surgical center. With a focus on accuracy and efficiency, your role will involve working with EHR systems and medical records to support the financial health of our organization. Join us in this critical role where your expertise in medical and surgical billing and coding will make a significant impact on our operations.Responsibilities<ul><li>Prepare and submit accurate insurance claims using appropriate coding systems such as CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) classifications.</li><li>Review medical records and documentation to ensure proper coding and billing accuracy.</li><li>Build, send, and process medical and surgical claims (paper and electronic)</li><li>Follow up on unpaid or denied claims through effective medical collection strategies while maintaining professional communication with insurance companies.</li><li>Verify patient insurance coverage and eligibility prior to service delivery to facilitate smooth billing processes.</li><li>Apply analytical and critical thinking to determine any areas which fall below reimbursement expectations and provide timely recommendations&mdash; to resolve those matters.</li><li>Comfortable with all aspects of EHR/EMR systems. Experience in credentialing, CAQH, and PQRS requirements</li><li>Collaborate with healthcare providers to clarify documentation discrepancies and ensure compliance with coding guidelines.</li><li>Stay current with industry regulations, updates in ICD coding standards, and best practices in medical billing to optimize reimbursement processes.</li></ul>Qualifications<ul><li>Proven experience in medical billing, coding, or related healthcare administration roles with a focus on surgical and medical services.</li><li>Strong knowledge of ICD-9, ICD-10, CPT coding systems, as well as DRG classifications used in hospital/ambulatory surgical center billing. General Orthopaedic and Orthopaedic Spine, and/or surgical billing and coding background is preferred.</li><li>Knowledge of insurance contracts, CMS and managed care guidelines, NCCI edits, medical terminology and medical compliance.</li><li>Familiarity with medical terminology, medical records management, and healthcare documentation standards.</li><li>Experience working with EMR/EHR systems and other medical office software platforms.</li><li>Excellent understanding of insurance claim procedures, denials management, and collection strategies.</li><li>Must have in-depth knowledge of the appeals process and ability to successfully appeal unjust denials</li><li>Ability to interpret complex medical documentation accurately and apply appropriate coding conventions.</li><li>Strong organizational skills with attention to detail and the ability to prioritize tasks effectively.</li></ul>Join our team as a Medical and Surgical Billing Specialist to ensure precise financial operations that support quality patient care while fostering professional growth within a dynamic healthcare environment!Benefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Medical and Surgical Billing Specialist

Dr. Lon Kopit

Overview Join our team as a Medical Billing and Coding Specialist focused on mental health patients! In this vital role, you will ensure accurate and efficient processing of medical claims, coding, and billing procedures that support mental health services. Your expertise will help streamline the revenue cycle, improve documentation accuracy, and enhance patient care experiences. If you thrive in a fast-paced environment where attention to detail and a passion for healthcare quality matter, this opportunity is perfect for you!Responsibilities<ul><li>Review and code mental health patient records using ICD-10, ICD-9, CPT (Current Procedural Terminology), and DRG (Diagnosis-Related Group) coding systems to ensure precise billing.</li><li>Prepare and submit clean claims to insurance companies via Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems, minimizing denials and delays.</li><li>Verify patient insurance coverage, benefits, and eligibility to facilitate seamless billing processes.</li><li>Follow up on unpaid or denied claims through medical collections efforts while maintaining professional communication with payers.</li><li>Maintain comprehensive and accurate medical records, including documentation of diagnoses, procedures, and treatment details aligned with medical terminology standards.</li><li>Collaborate with healthcare providers to clarify documentation discrepancies or coding questions to optimize reimbursement.</li><li>Stay updated on changes in coding regulations, payer policies, and compliance standards relevant to mental health billing practices.</li></ul>Skills<ul><li>Proficiency in ICD-10, ICD-9, CPT coding, DRG systems, and ICD coding conventions specific to mental health services.</li><li>Strong knowledge of medical billing processes and medical collection strategies.</li><li>Experience working with EMR/EHR systems for efficient data entry and claim submission.</li><li>Solid understanding of medical terminology related to mental health diagnoses and treatments.</li><li>Ability to interpret medical records accurately for proper coding and billing purposes.</li><li>Excellent attention to detail to ensure accuracy in all documentation and claim submissions.</li><li>Familiarity with healthcare compliance standards including HIPAA regulations related to medical records privacy. Embark on a rewarding career that makes a difference in mental health care delivery! Your expertise will be instrumental in supporting patients&rsquo; access to vital services while ensuring operational excellence within our healthcare organization.</li></ul>Pay: $15.00 - $20.00 per hourBenefits:<ul><li>Flexible schedule</li></ul>Experience:<ul><li>Medical billing: 1 year (Required)</li></ul>Work Location: Remote

Medical Billing and Coding for Mental Health Patients

Willapa Behavioral Health & Wellness

<div>
 Apply
 
 
 
 Description
 
 
 
 
 JOB TITLE:
 
 BILLING CODING SPECIALIST
 
 
 
 DEPARTMENT:
 
 Administrative
 
 
 
 SUPERVISOR:
 
 Chief Financial Officer
 
 
 
 EXEMPT/NON-EXEMPT:
 
 Non-Exempt
 
 
 
 SUPERVISES:
 
 N/A
 
 
 
 Job Summary
 
 
 
 As Billing Coding Specialist, using the established medical codes, transcribe patient history to be used by both health care providers and insurance companies. The Billing Coding Specialist updates the codes for services received and translates each code as it applies to the patient&rsquo;s healthcare insurance provider; prepares the claims document and submits, organizes, and tracks all insurance claims making sure that the payment is received. In addition, the Billing Coding Specialist deals with customers in terms of answering questions, arranging payment plans, and handling collections if a payment never materializes.
 
 
 
 General Requirements
 
 
 
 Follow Willapa Behavioral Health Service Excellence Standards / Code of Ethics and Policies and Procedures
 
 
 <ul>
 <li>
 Adhere to rules of confidentiality.
 </li>
 <li>
 Respect and accommodate a diverse population.
 </li>
 <li>
 Maintain appropriate boundaries with clients and staff.
 </li>
 <li>
 Work on-site as necessary or remotely using telehealth technology as determined by management.
 
 
 </li>
 </ul>
 
 Essential Functions
 
 
 
 <ul>
 <li>
 Read and analyze patient records; obtain clarification on notes and charts to ensure accuracy.
 </li>
 <li>
 Ensure all records are properly signed off on.
 </li>
 <li>
 Assign the correct codes to all diagnoses and services.
 </li>
 <li>
 Enter and organize the codes into the management software.
 </li>
 <li>
 Be familiar with ICD-9-CM, ICPM, DSM-IV, and CPT-HCPCS coding systems; using the codes, bill the insurance providers.
 </li>
 <li>
 Track patient data over multiple visits.
 </li>
 <li>
 Manage detail, specifically coded information.
 
 
 </li>
 </ul>
 
 Requirements
 
 
 
 
 JOB REQUIREMENTS:
 
 
 
 
 Minimum Qualifications
 
 
 
 <ul>
 <li>
 High school degree
 </li>
 <li>
 Well organized: have the ability to formulate and follow efficient working procedures and guidelines.
 </li>
 <li>
 Effectively explain all charges to patients and their families and remain professional and empathetic in the face of dispute over charges and payment.
 </li>
 <li>
 Technologically savvy: up to date with technological developments in the field, especially as it relates to software developments.
 </li>
 <li>
 Excellent verbal and written communication skills, computer proficiency to document in the electronic medical record (EMR) and utilize telehealth and Microsoft office suite.
 </li>
 <li>
 Undergo and pass criminal background check upon initial employment and any subsequent checks required by the agency.
 </li>
 <li>
 Meet requirements of agency&rsquo;s drug free workplace policy.
 </li>
 <li>
 Excellent customer service with a client focus.
 </li>
 <li>
 Able to sit, stand and move for long hours at a time and lift up to 25 pounds.
 </li>
 <li>
 A valid driver&rsquo;s license and reliable vehicle.
 </li>
 <li>
 Able to drive in daylight, darkness, and typical Northwest weather conditions.
 </li>
 <li>
 Flexible to fill-in shifts if needed.
 </li>
 <li>
 Other duties as assigned.
 </li>
 <li>
 Meet the current Washington health care vaccination requirements for health care workers.
 
 
 </li>
 </ul>
 
 Preferred Qualifications
 
 
 
 <ul>
 <li>
 Coding Certification by an Accredited organization and/or Associates Degree
 </li>
 </ul>
</div>

Billing Coding Specialist

Stat Upright MRI

Job Summary We are seeking a dynamic and detail-oriented Medical Billing Specialist to join our healthcare team. In this role, you will be responsible for managing the full cycle of medical billing processes, ensuring accurate and timely submission of claims, and resolving any billing discrepancies. Your expertise will help optimize revenue flow while maintaining compliance with healthcare regulations. This position offers an exciting opportunity to contribute to a fast-paced, patient-focused environment where your skills directly impact patient care and organizational success.Responsibilities<ul><li>Prepare and submit insurance claims accurately using electronic billing systems and ensure compliance with payer requirements.</li><li>Review patient accounts for completeness, accuracy, and proper documentation before billing.</li><li>Follow up on unpaid or denied claims promptly, identifying reasons for denials and resubmitting corrected claims as needed.</li><li>Collaborate with healthcare providers to clarify billing information and resolve discrepancies efficiently.</li><li>Maintain detailed records of all billing transactions, adjustments, and correspondence for audit purposes.</li><li>Stay current with changes in healthcare regulations, insurance policies, and coding standards such as ICD-10 and CPT codes.</li><li>Assist patients with billing inquiries, explaining charges clearly and providing necessary documentation or payment options.</li></ul>Skills<ul><li>Strong knowledge of medical billing procedures, coding systems (ICD-10, CPT), and insurance claim processes.</li><li>Proficiency in electronic health record (EHR) systems and billing software platforms.</li><li>Excellent attention to detail to ensure accuracy in claim submissions and record keeping.</li><li>Effective communication skills for interacting with insurance companies, healthcare providers, and patients.</li><li>Ability to analyze claim denials critically and develop strategies for resolution.</li><li>Knowledge of healthcare regulations including HIPAA compliance to protect patient privacy.</li><li>Self-motivated with strong organizational skills to manage multiple tasks efficiently in a fast-paced environment. Join us as a Medical Billing Specialist and become an essential part of a dedicated healthcare team committed to delivering exceptional service while advancing your professional growth!</li></ul>Pay: $20.00 - $26.00 per hourBenefits:<ul><li>401(k)</li><li>Flexible schedule</li><li>Health insurance</li><li>Paid time off</li></ul>Work Location: In person

Medical Billing Specialist

Optysuite

Job Overview As a member of the RCM Team, the Medical Billing Specialist, will need to be highly motivated and detail-oriented to meet metrics related to RCM billing process for Professional Services, ensuring accurate and timely submission of claims, working A/R and optimizing revenue cycle operations.Qualified candidates must be committed to exceed expectations through continuous staff training and engagement, surpassing metrics and contribute to the overall operational success. The following is a brief overview for this Role:<ul><li>Prepare and submit accurate medical claims, adhering to insurance guidelines and coding standards related to Professional Services.</li><li>Review as needed, medical records to verify diagnosis codes (ICD-9, ICD-10) and procedure codes (CPT coding), ensuring proper documentation for billing purposes.</li><li>Follow up on unpaid or denied claims through medical collection efforts, resubmitting or appealing as necessary to maximize revenue.</li><li>Maintain comprehensive records of billing activities, claim status updates, and payment histories for audit readiness.</li><li>Stay current with industry changes in ICD coding updates, CPT guidelines, and insurance policies to ensure compliance and accuracy.</li></ul>Qualifications<ul><li>Proven experience in medical billing with a solid understanding of medical terminology, medical records management, and coding practices.</li><li>Familiarity with ICD-9, ICD-10, CPT coding.</li><li>Strong knowledge of medical office procedures and proficiency with EMR/EHR systems.</li><li>Excellent attention to detail with the ability to review complex medical documentation accurately.</li><li>Ability to communicate effectively with insurance companies, healthcare providers, and patients regarding billing inquiries.</li><li>Knowledge of medical collection processes and strategies for improving payment recovery.</li><li>Prior experience working with medical coding standards and insurance claim submission protocols is highly preferred.</li></ul>Pay: $20.00 - $23.00 per hourBenefits:<ul><li>401(k) matching</li><li>Dental insurance</li><li>Flexible schedule</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

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