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'll be at the forefront of translating clinical documentation into precise codes, managing billing cycles, and supporting the financial health of our healthcare operations. Your attention to detail and knowledge of medical terminology will empower providers to deliver exceptional patient care while maintaining compliance with industry standards. This position offers an engaging environment for motivated professionals eager to make a meaningful impact in healthcare administration.

Responsibilities:

• Review and analyze medical records to assign appropriate ICD-10, CPT, and DRG codes for billing accuracy.
• Ensure proper documentation by verifying completeness and correctness of medical records, including ICD-9 where applicable.
• Prepare and submit claims using EMR and EHR systems, adhering to insurance guidelines and regulatory requirements.
• Follow up on unpaid or denied claims through effective medical collection strategies, resolving discrepancies promptly.
• Maintain detailed records of billing activities, coding updates, and correspondence related to insurance claims and patient accounts.
• Collaborate with healthcare providers to clarify documentation and optimize coding accuracy for maximum reimbursement.
• Stay current with industry changes in medical coding standards, insurance policies, and compliance regulations to ensure ongoing accuracy.

Qualifications:

• 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 essential for accurate coding.
• Proficiency in ICD-10, ICD-9 (if applicable), CPT coding, DRG assignment, and understanding of medical records management.
• Ability to interpret complex medical documentation and translate it into precise codes for billing purposes.
• Excellent organizational skills with attention to detail to ensure error-free submissions.
• Effective communication skills for collaborating with healthcare providers, insurance companies, and patients.
• Prior experience with medical office operations or administrative roles in healthcare is preferred.

People with a criminal record are encouraged to apply.

This position is in-person and requires 25% travel. Relocation assistance is provided for Washington, DC.

Pay is $18.00 - $20.00 per hour.