About This Role
This specialist role in a dynamic healthcare team focuses on accurate reimbursement processes and seamless management of medical records. You will translate clinical documentation into precise codes, submit claims efficiently, and ensure compliance with industry standards. The position requires attention to detail and knowledge of medical terminology to optimize revenue cycles and support quality patient care.
Responsibilities
- Review patient medical records and documentation to assign appropriate ICD-10 (International Classification of Diseases, Tenth Revision), CPT (Current Procedural Terminology), and DRG (Diagnosis-Related Group) codes for billing purposes
- Prepare and submit clean claims using Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems, ensuring compliance with insurance requirements
- Follow up on unpaid or rejected claims through effective medical collection strategies while maintaining professional communication with insurance companies and patients
- Maintain accurate and organized medical records, ensuring all billing information aligns with medical records and coding standards
- Stay updated on changes in medical coding guidelines, insurance policies, and healthcare regulations to ensure ongoing compliance
- Collaborate with healthcare providers to clarify documentation discrepancies or coding questions promptly
- Assist in auditing billing processes and coding accuracy to improve overall efficiency and reduce claim denials
Requirements
- Vein billing specialist
- Strong understanding of medical terminology, anatomy, and physiology relevant to coding practices
- Proficiency in ICD-9 (International Classification of Diseases, Ninth Revision), ICD-10 coding systems, as well as CPT coding for procedures and services
- Experience with medical billing software, EMR/EHR systems, and electronic claim submission platforms
- Ability to interpret medical records accurately and assign appropriate ICD coding in compliance with industry standards
- Excellent attention to detail with a focus on accuracy in documentation, coding, and billing processes
- Effective communication skills for collaborating with healthcare providers, insurance representatives, and patients
Important Details
- Work location: Hybrid remote in Humble, TX 77346