Pediatric Billing & Coding Representative

Pediatric Billing & Coding Representative Decatur, GA Job Details Full-time $23.72 - $26.00 an hour 1 day ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance Qualifications Collaborate with healthcare professionals Record keeping Medical collection Insurance verification Electronic health records (EHR) management Medical office experience Regulatory compliance in claims processing Mid-level ICD-10 Records management Data entry Payment posting in medical billing systems Pediatrics Patient interaction Managing patient records Medical claim denial management Medical terminology Healthcare compliance Documentation review Communication skills DRG Full Job Description Overview Join our dynamic healthcare team as a Pediatric Billing and Coding Representative, where your expertise will directly impact the efficiency and accuracy of pediatric medical billing processes. This vital role includes claims review, claim submission, insurance verification, payment posting, denial management, and working closely with families to provide clear and positive billing experiences. You will also ensure compliance with industry standards and optimizing revenue cycle management. Your energetic approach and attention to detail will help deliver seamless billing experiences for our young patients and their families, supporting our mission to provide exceptional pediatric care. Duties Review and process medical claims using CPT, ICD-10, and DRG coding systems to ensure accurate reimbursement. Enter and verify data within Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems, maintaining precise medical records and billing information. Submit claims to insurance payers, follow up on unpaid or denied claims, and initiate collections for overdue accounts through effective communication with insurance companies and patients. Analyze medical records to confirm proper documentation aligns with billing requirements; update records as needed for compliance. Collaborate with healthcare providers to clarify diagnoses or procedures requiring detailed medical coding; ensure adherence to medical terminology standards. Monitor accounts receivable, identify discrepancies, and implement strategies to optimize collections while maintaining excellent patient relations. Stay current with industry regulations, including updates in ICD coding standards and insurance policies, to ensure ongoing compliance. Requirements Proven experience in medical billing within a pediatric healthcare setting, with familiarity in medical office operations. Strong knowledge of CPT coding, ICD-10 coding systems, DRG classifications, and ICD coding principles. Proficiency in using EMR/EHR systems for data entry, record management, and claim processing. Solid understanding of medical terminology, medical records management, and the overall revenue cycle process. Excellent attention to detail with the ability to analyze complex medical documentation accurately. Effective communication skills for interacting with insurance companies, healthcare providers, and patients' families. Knowledge of medical collection practices and experience managing accounts receivable efficiently. Embark on a rewarding career where your skills contribute directly to delivering quality pediatric healthcare! We are committed to fostering an inclusive environment that values your expertise in medical coding and billing while supporting your professional growth every step of the way.

Pay:

$23.72 - $26.00 per hour

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance

Experience:

Pediatric Billing:

3 years (Required)

Healthcare:

5 years (Required)

Work Location:

In person