Medical Coder

Responsibilities

• Process claims and review progress notes for accuracy of electronic medical record-generated codes before submitting electronically.
• Apply appropriate modifiers to E&M and CPT codes to support payment and reduce denials.
• Handle insurance denials in a timely manner.
• Obtain patient estimates for procedures.
• Respond to patient questions regarding charges, services, and clinic billing policies.
• Maintain proficiency in billing and coding rules and regulations.
• Cross-train and assist with other duties such as scheduling.
• Complete quarterly compliance audits.
• Complete webinars and continuing education to stay current on coding guidelines.
• Maintain strong attention to detail and organizational skills to manage multiple records efficiently.
• Perform other duties as assigned.

Qualifications

• CPC or CPCD certification.
• Proven understanding of EOBs, claim forms, and the insurance billing process.
• Working knowledge of commercial insurance, Medicare, and Medicaid.
• Strong understanding of CPT and ICD-10 coding.
• Knowledge of medical terminology.
• Dermatology coding experience preferred.
• At least 2 years of coding/billing experience preferred.
• Excellent communication and customer service skills.
• Computer and typing skills.
• Strong attention to detail and organizational skills.
• High school diploma.