Job Overview
Join a dynamic healthcare team as a Medical Billing and Coding Specialist, where your expertise will help ensure accurate and efficient processing of medical claims and records. In this role, you will translate medical procedures, diagnoses, and services into standardized codes, manage billing processes, and support compliance with healthcare regulations.
Your work will help optimize revenue cycle management and support communication between healthcare providers, insurance companies, and patients. This is an opportunity to make a meaningful impact in healthcare administration in a fast-paced environment.
Requirements & Qualifications
Responsibilities
- Review and analyze medical records to assign appropriate ICD-10, ICD-9, CPT, and DRG codes according to medical coding guidelines.
- Enter billing information accurately into EHR systems and billing software to support timely claim submission.
- Process health insurance claims, verify coverage details, and follow third-party payer requirements.
- Manage accounts receivable by following up on unpaid or denied claims.
- Maintain documentation of medical records, coding decisions, and billing transactions to support audits and compliance reviews.
- Stay current with updates in coding standards, including ICD-10/ICD-9 updates, CPT coding changes, and inpatient service regulations.
- Collaborate with healthcare providers to resolve documentation discrepancies and ensure proper coding for reimbursement.
Qualifications
- Proven experience in medical billing and coding within a healthcare setting or medical office environment.
- Strong knowledge of ICD-10/ICD-9 coding systems, CPT coding procedures, DRG classifications, and medical terminology.
- Familiarity with EMR/EHR systems for electronic health record management.
- Understanding of health insurance policies, claim processing procedures, and revenue cycle management principles.
- Ability to use billing software efficiently while maintaining high accuracy standards.
- Knowledge of medical records management and HIPAA compliance is preferred.
- Prior experience with inpatient service coding is advantageous, but training will be provided.
Location
North Carolina, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
3 weeks ago