Medical Billing and Coding Specialist

About This Role

This specialist role involves reviewing and analyzing medical records and patient bills to ensure accuracy and completeness. The core responsibility is to assign appropriate medical codes and ensure compliance with coding guidelines, while also managing claims and payments.

Responsibilities

• Review and analyze medical records and patient bills for accuracy and completeness
• Assign appropriate medical codes using ICD-10 and other coding systems
• Ensure compliance with coding guidelines and regulations
• Submit claims to insurance companies and follow up on unpaid or denied claims
• Process payments from insurance companies and patients
• Resolve billing discrepancies and answer inquiries from patients, insurance companies, and healthcare providers
• Maintain confidentiality of patient information and adhere to HIPAA regulations
• Collaborate with healthcare providers to obtain necessary documentation for accurate billing

Requirements

• Previous experience in medical billing or related field preferred
• Proficient in medical terminology, DRG, and medical coding systems
• Knowledge of medical collection practices and procedures
• Familiarity with electronic health record systems and billing software
• Strong attention to detail and accuracy in data entry and record keeping
• Excellent communication skills, both written and verbal
• Ability to work independently and prioritize tasks effectively

Benefits

• 401(k) matching

Important Details

• Schedule: full-time

About the Company

This job description is intended to provide a general overview of the position.