Medical Billing and Coding Specialist

Overview

Established community-focused independent medical practice in Redmond, WA dedicated to delivering high-quality, personalized care. The workplace emphasizes collaboration, respect, and patient-centered service.

The practice is seeking a detail-oriented, reliable, and experienced medical billing and coding specialist to manage revenue cycle operations and support daily practice operations.

Responsibilities

• Review and analyze medical records to assign appropriate ICD-10, ICD-9, CPT, and DRG codes for inpatient and outpatient services.
• Prepare and submit accurate insurance claims using billing software and electronic health record systems.
• Verify patient insurance coverage and facilitate third-party billing to maximize reimbursements.
• Maintain detailed documentation of medical records, coding decisions, and billing transactions to support audits and compliance.
• Collaborate with healthcare providers to clarify documentation discrepancies and ensure accurate coding.
• Manage the revenue cycle by following up on unpaid claims, resolving denials, and conducting collections for outstanding balances.
• Stay current on medical coding guideline updates, including ICD-10/ICD-9 transitions, CPT changes, and DRG regulations.