Medical Billing and Coding Specialist

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 medical procedures and diagnoses into standardized codes, submitting claims to insurance companies, and maintaining precise documentation. Your energetic approach will help streamline billing workflows, improve revenue cycle management, and support exceptional patient care. If you thrive in a fast-paced environment and are passionate about accuracy and efficiency, this is the perfect opportunity to elevate your career in medical coding and billing.

Responsibilities:

• Review medical records to assign appropriate ICD-9, ICD-10, CPT (Current Procedural Terminology), and DRG (Diagnosis-Related Group) codes accurately for billing purposes
• Prepare and submit clean claims using Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems to insurance providers promptly
• Follow up on unpaid or rejected claims through effective medical collection strategies to ensure timely reimbursement
• Verify patient insurance coverage, benefits, and eligibility prior to service delivery
• Maintain comprehensive and organized medical records, ensuring compliance with healthcare regulations and confidentiality standards
• Collaborate with healthcare providers to clarify documentation or coding discrepancies for precise billing
• Stay updated on coding changes, insurance policies, and healthcare regulations affecting medical billing practices

Requirements:

• Proven experience in medical billing and coding within a healthcare setting, with familiarity using EMR/EHR systems
• Strong knowledge of medical terminology, anatomy, and physiology to accurately interpret clinical documentation
• Proficiency in ICD-9, ICD-10, CPT coding systems, including understanding of DRG classifications for hospital billing
• Experience with medical records management and maintaining compliance with HIPAA regulations
• Ability to analyze complex medical documentation and assign appropriate codes efficiently
• Excellent attention to detail combined with active problem-solving skills to resolve claim issues swiftly
• Certification in Medical Coding (such as CPC or CCS) is preferred but not mandatory; relevant experience is highly valued

Pay: $22.46 - $27.05 per hour

Benefits:

• 401(k)
• Health insurance
• Paid time off

Work Location: In person