Medical Billing and Coding Specialist

Job Overview

We are seeking a detail-oriented and energetic Medical Billing and Coding Specialist to join our dynamic healthcare team. In this vital role, you will be responsible for accurately coding medical records, processing insurance claims, and ensuring the seamless flow of revenue cycle management. Your expertise will help optimize billing processes, improve claim acceptance rates, and support the overall financial health of our healthcare organization. If you thrive in a fast-paced environment and have a passion for precision and compliance, this is an excellent opportunity to contribute to quality patient care through efficient billing and coding practices.

Responsibilities

• Review medical records and documentation to assign appropriate ICD-10, ICD-9, CPT, and DRG codes following medical coding guidelines for inpatient and outpatient services.
• Prepare, submit, and follow up on health insurance claims using advanced billing software and electronic health record (EHR) systems.
• Ensure accurate coding for all services rendered by applying comprehensive knowledge of medical terminology, procedures, and diagnosis codes.
• Manage the revenue cycle by verifying patient insurance coverage, processing third-party billing, and resolving claim denials or rejections promptly.
• Maintain meticulous medical records in EMR/EHR systems to support billing accuracy and compliance with healthcare regulations.
• Collaborate with healthcare providers to clarify documentation discrepancies and ensure proper coding for optimal reimbursement.
• Stay updated on changes in medical coding guidelines, including ICD-10 updates, CPT revisions, and DRG classifications to ensure ongoing compliance.

Qualifications

• Proven experience in medical office settings with a strong understanding of medical billing, coding, and revenue cycle management.
• Proficiency with billing software platforms and electronic health record (EHR) or electronic medical record (EMR) systems.
• In-depth knowledge of health insurance claim processing, third-party billing procedures, and insurance verification processes.
• Familiarity with ICD-10/ICD-9 coding systems, CPT coding for procedures, DRG classifications, and medical terminology.
• Strong understanding of medical records management and adherence to medical coding guidelines for inpatient and outpatient services.
• Excellent attention to detail with the ability to interpret complex clinical documentation accurately.
• Effective communication skills to collaborate with healthcare providers, insurance companies, and patients as needed.

Join us in this exciting role where your expertise will directly impact patient care delivery through precise billing practices! We value accuracy, compliance, and a proactive approach to managing the financial aspects of healthcare services.

Pay: $20.00 - $25.00 per hour

Expected hours: 35.0 – 40.0 per week

Benefits:

• Flexible schedule

People with a criminal record are encouraged to apply

Experience:

• Medical billing: 1 year (Required)

Security clearance:

• Confidential (Required)

Work Location: Remote