Medical Billing and Coding Specialist

About This Role

The Medical Billing and Coding Specialist ensures accurate coding, billing, and claims processing for a diverse range of medical services. This vital role optimizes revenue cycle management, streamlines insurance claim submissions, and maintains precise medical records, suiting a detail-oriented and energetic individual passionate about healthcare administration.

Responsibilities

• Accurately assign diagnostic (ICD-9/ICD-10) and procedure (CPT) codes in accordance with medical coding guidelines for inpatient and outpatient services
• Prepare and submit insurance claims using billing software and electronic health record (EHR/EHR) systems
• Review medical records to verify the completeness of documentation supporting billing codes
• Manage medical collections by following up on unpaid or denied claims with third-party payers
• Ensure compliance with health insurance policies, third-party billing requirements, and revenue cycle management best practices
• Maintain up-to-date knowledge of ICD coding, DRG (Diagnosis-Related Group) classifications, and medical terminology
• Assist in resolving billing discrepancies and updating patient accounts accurately

Requirements

• Proven experience in medical office administration, medical billing, or coding roles within healthcare settings
• Strong knowledge of ICD-9/ICD-10 coding systems, CPT coding, DRG classifications, and medical terminology
• Familiarity with billing software, EMR/EHR systems, and electronic health record management for billing and coding purposes
• Understanding of health insurance claim processing, third-party billing procedures, and revenue cycle management
• Excellent attention to detail with the ability to interpret complex medical records and documentation
• Knowledge of medical coding guidelines for inpatient services and medical collection processes
• Effective communication skills to collaborate with healthcare providers, insurance companies, and patients

Important Details

• Expected hours: No less than 20.0 per week

About the Company

Focus: Meds Pharmacy and Wellness is an independently-owned, community pharmacy dedicated to enhancing patient health through comprehensive pharmaceutical care. They prioritize treating each patient as an individual, recognizing their unique healthcare needs and backgrounds, and strive to deliver personalized support with compassion and professionalism.