Job Overview
We are seeking a highly motivated and detail-oriented Medical Billing and Coding Specialist to join our healthcare team. In this vital role, you will be responsible for accurately coding medical procedures and diagnoses, managing billing processes, and ensuring seamless revenue cycle management. Your expertise will help optimize insurance claim processing, improve cash flow, and maintain compliance with medical coding guidelines. If you thrive in a fast-paced environment and have a passion for healthcare administration, this is an excellent opportunity to contribute to quality patient care and operational efficiency.
Responsibilities
- Review medical records and documentation to assign appropriate ICD-10, ICD-9, CPT, and DRG codes in accordance with current medical coding guidelines.
- Prepare and submit accurate health insurance claims using billing software and electronic health record (EHR) systems.
- Manage the entire revenue cycle process, including patient billing, insurance third-party billing, follow-up on unpaid claims, and collections.
- Ensure compliance with health insurance policies, medical terminology standards, and coding regulations for inpatient and outpatient services.
- Collaborate with healthcare providers to clarify documentation discrepancies and improve the accuracy of medical records for billing purposes.
- Maintain detailed records of all billing transactions, claim statuses, and correspondence related to medical records and insurance claims.
- Stay updated on changes in ICD coding (including ICD-10), CPT coding, DRG classifications, and other relevant healthcare regulations to ensure ongoing compliance.
Requirements & Qualifications
Experience and Qualifications
- Proven experience in medical billing and coding within a healthcare setting or medical office environment.
- Strong knowledge of ICD-10, ICD-9, CPT coding systems, DRG classifications, and medical coding guidelines.
- Familiarity with EMR/EHR systems for electronic health record management related to billing and coding processes.
- Experience with health insurance claim processing, third-party billing procedures, and revenue cycle management.
- Excellent understanding of medical terminology, medical records management, and health insurance policies.
- Ability to navigate billing software efficiently while maintaining accuracy under tight deadlines.
- Prior experience working with medical collection processes is preferred but not required.
Benefits & Perks
Benefits
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Location
Texas, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
4 weeks ago