About This Role
This specialist role is vital to a dynamic healthcare team, focusing on accurately coding medical records, processing insurance claims, and ensuring seamless revenue cycle management. The position suits a detail-oriented and energetic individual with a passion for precision and compliance in a fast-paced environment.
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
Requirements
- 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
- Medical billing: 1 year (Required)
Benefits
Important Details
- Expected hours: 35.0 – 40.0 per week
Security Clearance