Job Summary
We are seeking a detail-oriented and proactive Medical Billing and Coding Specialist to join our dynamic healthcare team. In this 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. This position offers an opportunity to contribute to efficient healthcare operations while working with EMR and EHR systems.
Duties
- Review and assign ICD-10, ICD-9, CPT, and DRG codes to medical records based on documentation.
- Ensure accurate billing for inpatient and outpatient services in accordance with coding guidelines.
- Process health insurance claims using billing software and verify coverage details through third-party payers.
- Manage EHR/EMR systems for billing, coding, and medical records management.
- Collaborate with healthcare providers to clarify documentation discrepancies and improve coding accuracy.
- Follow up on unpaid or denied claims and perform medical collection activities to recover revenue.
- Maintain records of coding decisions, billing transactions, and insurance communications to support audits and compliance reviews.
Requirements & Qualifications
Qualifications
- Proven experience in medical office settings with a strong understanding of medical terminology, records management, and health insurance processes.
- Proficiency with billing software, EMR/EHR systems, and electronic health record management for billing and coding purposes.
- In-depth knowledge of medical coding guidelines including ICD-10, ICD-9, CPT coding, DRG classifications, and coding for inpatient services.
- Familiarity with health insurance claim processing, third-party billing procedures, and revenue cycle management strategies.
- Strong attention to detail with the ability to interpret complex medical documentation accurately.
- Excellent communication skills for collaborating with healthcare providers, insurance companies, and patients when necessary.
- CPC or CCS certification is preferred but not mandatory; relevant experience is highly valued.
Benefits & Perks
Benefits
- Employee discount
- Flexible schedule
Location
Florida, US
Employment Type
Temporary
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago