Job Overview
We are seeking a dynamic and detail-oriented Medical Billing and Coding Specialist with experience in orthopedics 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 directly impact the efficiency of insurance claim processing and the financial health of our practice. This position offers an exciting opportunity to utilize your medical coding skills and contribute to high-quality patient care through precise documentation and billing practices.
Duties
- Review and analyze medical records to assign appropriate ICD-10, ICD-9, CPT, and DRG codes in accordance with medical coding guidelines.
- Prepare and submit insurance claims using advanced billing software, ensuring accuracy and compliance with health insurance policies.
- Manage electronic health record (EHR) systems for billing and coding, maintaining up-to-date medical records and documentation.
- Verify patient insurance coverage, process third-party claims, and follow up on unpaid or denied claims to optimize revenue recovery.
- Collaborate with healthcare providers to clarify diagnoses or procedures when necessary for accurate coding.
- Ensure adherence to medical terminology standards and maintain compliance with healthcare regulations related to medical records and billing practices.
- Support revenue cycle management by tracking claim status, resolving discrepancies, and facilitating timely payments.
Requirements & Qualifications
Qualifications
- Proven experience in medical office settings with a strong understanding of medical terminology, records management, and billing procedures.
- Proficiency in EMR/EHR (Aprima) system billing software, and electronic health record management for billing and coding purposes.
- Knowledge of health insurance claim processing, third-party billing, and revenue cycle management best practices.
- Familiarity with ICD-10, ICD-9, CPT coding systems, including coding for inpatient services and DRGs.
- Strong understanding of medical coding guidelines for accurate diagnosis (ICD) and procedure (CPT) coding.
- Ability to interpret medical records accurately while adhering to compliance standards related to medical coding and billing.
- Excellent attention to detail, organizational skills, and the ability to work efficiently in a fast-paced environment.
- Billing and coding experience: 2 years required.
- AAPC CPC certification or AHIMA equivalent certification required.
- Spanish preferred.
Benefits & Perks
Benefits
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
Location
Orlando, Florida, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 week ago