Medical Billing and Coding Specialist

We are seeking a detail-oriented and motivated Medical Billing and Coding Specialist to join our healthcare team. In this vital role, you will be responsible for accurately translating medical procedures, diagnoses, and services into standardized codes, ensuring proper billing and reimbursement processes. Your expertise will help streamline our medical billing operations, improve revenue cycle management, and maintain compliance with healthcare regulations. This position offers an exciting opportunity to contribute to efficient healthcare delivery while working with cutting-edge electronic health record (EHR) systems and medical coding standards.

Responsibilities:

• Review medical records and documentation to assign appropriate ICD-9, ICD-10, CPT (Current Procedural Terminology), and DRG (Diagnosis-Related Group) codes for diagnoses and procedures.
• Ensure accurate coding in accordance with established guidelines to facilitate correct billing and reimbursement.
• Prepare and submit clean claims using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems, adhering to payer requirements.
• Follow up on unpaid or rejected claims through medical collection processes to optimize revenue recovery.
• Maintain detailed records of coding activities, billing transactions, and correspondence for audit purposes.
• Collaborate with healthcare providers to clarify documentation or resolve coding discrepancies.
• Stay updated on changes in medical terminology, coding standards, and healthcare regulations to ensure ongoing compliance.

Qualifications:

• Proven experience in medical billing, coding, or related healthcare administrative roles.
• Strong knowledge of ICD-9, ICD-10, CPT coding systems, and DRG classifications.
• Familiarity with medical terminology, medical records management, and healthcare documentation standards (Podiatry and/or orthopedic experience is a plus but not required).
• Experience working with EMR/EHR systems and medical office software (Mod Med experience is a plus but not required).
• Excellent attention to detail and organizational skills to ensure accuracy in coding and billing processes.
• Ability to interpret complex medical records and translate them into precise codes.
• Knowledge of insurance claim procedures, medical collections, and payer guidelines is a plus.

Join us as a Medical Billing and Coding Specialist to play a crucial role in delivering efficient healthcare services. Your expertise will support accurate billing practices that benefit both providers and patients while advancing your career in the dynamic field of healthcare administration.