Medical Coder and Biller

Job Summary

We are seeking a detail-oriented and motivated Medical Coder and Biller to join our healthcare team. In this vital role, you will be responsible for accurately translating medical diagnoses, procedures, and services into standardized codes using ICD-9, ICD-10, CPT, and DRG coding systems. Your expertise will ensure precise medical record documentation, efficient billing processes, and timely insurance claim submissions. This position offers an exciting opportunity to contribute to the revenue cycle management process while supporting optimal patient care documentation. Your proactive approach and thorough understanding of medical coding guidelines will help streamline operations and maximize reimbursement.

Responsibilities

• Review medical records, documentation, and provider notes to assign appropriate ICD-9, ICD-10 diagnosis codes, CPT procedure codes, and DRG classifications for inpatient and outpatient services.
• Ensure compliance with current medical coding guidelines and insurance requirements during the coding process.
• Prepare accurate electronic health records (EHR) entries for billing purposes using specialized billing software and EMR/EHR systems.
• Submit clean claims to third-party payers including health insurance companies, government programs, and other payers in a timely manner.
• Follow up on unpaid or denied claims by investigating discrepancies and resubmitting corrected claims as needed.
• Maintain detailed records of all billing activities, coding updates, and claim statuses for audit purposes.
• Collaborate with healthcare providers to clarify documentation or resolve coding issues that impact reimbursement or compliance.

Requirements

• Proven experience in medical coding and billing within a healthcare setting, with knowledge of ICD-9, ICD-10, CPT coding standards, and DRG classifications.
• Familiarity with electronic health record (EHR) systems, EMR/EHR management for billing and coding tasks. Familiarity with eCW (e Clinical Works) a definite plus.
• Strong understanding of medical terminology, medical records management, and medical coding guidelines for inpatient services.
• Experience with billing software platforms used for insurance third-party billing and revenue cycle management.
• Knowledge of health insurance claim processing procedures and health insurance policies.
• Excellent attention to detail with the ability to interpret complex medical documentation accurately.
• Ability to stay current with updates in ICD coding standards (including ICD-10), CPT codes, and healthcare regulations.

Join our team to play a crucial role in ensuring accurate medical documentation and efficient revenue cycle processes! Your expertise will directly impact our ability to deliver quality healthcare services while maintaining compliance with industry standards.

Pay: $55,000.00 - $70,000.00 per year

Benefits:

• Dental insurance
• Health insurance
• Vision insurance

Work Location: In person