Medical Billing Coder I

Provides timely and accurate processing of multi-specialty physician office visits, inpatient, surgical hospital visits, and procedural coding in an academic environment. Reviews and corrects charges submitted from the clinic and hospital electronic health record using CPT, HCPCS, ICD-10, and insurance payer standards. Follows up on unpaid insurance claims, corrects denials, and manages audit trails. Responds to patient statement inquiries.

Supports medical billing services for the College of Community Health Sciences. Prepares and submits clean claims to insurance companies electronically or by paper. Reviews documentation to verify diagnoses, procedures, and treatment results. Identifies billing and coding trends and provides feedback to the supervisor. Advises faculty, residents, learners, and clinical staff on proper documentation and coding. Resolves coding edits at charge entry to support timely claim submission.

Answers questions from patients, clinicians, clerical staff, and insurance companies. Resolves patient billing inquiries, evaluates financial status, establishes budget payment plans, flags delinquent accounts for collection, and helps resolve coordination of benefits issues. Processes patient payments, prepares end-of-day reports, and maintains strict confidentiality in accordance with HIPAA guidelines.