Billing and Coding Specialist

Coding responsibilities

• Extract relevant information from patient records and act as a liaison with providers and other parties to clarify information
• Review documents for missing information and correct information as needed
• Assign CPT, HCPCS, and ICD-10-CM codes
• Perform patient chart audits and provide coding feedback and education to the clinical team as needed
• Answer questions, advise, and train providers and staff on medical coding
• Ensure compliance with medical coding policies and guidelines
• Maintain current knowledge of coding and diagnostic procedures
• Participate in compliance activities, provider coding reviews, and education as requested

Billing responsibilities

• Maintain the practice management system by entering accurate data and verifying/updating insurance and claims information
• Key, collect, post, and manage patient account payments
• Investigate rejected claims and correct denials
• Complete Claims Center daily tasks including charge review and claims inspector work
• Create and maintain custom claim edits and work the client action worklist
• Review weekly and monthly RCM reports including productivity and financial reports
• Follow HIPAA guidelines when accessing and sharing patient information
• Maintain patient and business confidentiality
• Provide timely and professional customer service to patients, facility staff, and third-party vendors
• Support additional coding, billing, and practice management projects as needed
• Regular attendance required
• Perform other related duties as assigned

Qualifications

• High school diploma or GED required
• Experience with electronic scheduling systems and electronic medical records (EMR) required
• Minimum of 1+ year of experience as a medical biller/coder in surgical or orthopedics settings
• Certified Professional Coder (CPC) preferred
• Strong leadership and effective communication skills
• Excellent planning, organization, and management skills
• Ability to multitask in a fast-paced environment and work well with a team
• Dependable transportation required
• Travel between locations may be required

Benefits

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
• Short-term disability
• Long-term disability