Medical Billing and Coding Specialist

Job Summary

We are seeking a highly skilled and detail-oriented Medical Billing and Coding Specialist to join our healthcare team. The ideal candidate will possess comprehensive knowledge of medical coding standards, billing procedures, and insurance claim processing. As a vital member of our revenue cycle management team, you will ensure accurate coding, timely billing, and efficient claims submission to optimize reimbursement and maintain compliance with healthcare regulations. This role offers an opportunity to contribute to high-quality patient care through precise financial documentation and coding practices.

Duties

• Accurately assign diagnosis codes using ICD-9, ICD-10, and CPT coding systems in accordance with medical coding guidelines.
• Review and interpret medical records to ensure proper documentation for billing purposes.
• Prepare and submit electronic health record (EHR) and electronic medical record (EMR)-based claims for insurance third-party billing.
• Manage the entire revenue cycle process, including medical collection efforts, claim follow-up, and payment posting.
• Verify insurance coverage, process health insurance claims, and resolve claim denials efficiently.
• Maintain up-to-date knowledge of health insurance policies, DRG classifications, and coding updates.
• Collaborate with healthcare providers to ensure accurate documentation for inpatient services coding.
• Utilize billing software effectively to streamline billing operations and improve workflow accuracy.
• Ensure compliance with all applicable regulations related to medical records management and billing procedures.