Job Summary We are seeking a detail-oriented and experienced Medical Billing and Coding Specialist to join our healthcare team. The ideal candidate will be responsible for accurately coding medical procedures and diagnoses, managing billing processes, and ensuring compliance with healthcare regulations. This role requires a strong understanding of medical terminology, coding systems, and electronic health record (EHR) systems to facilitate efficient reimbursement and maintain precise medical records. Duties Assign appropriate DRG, CPT, ICD-9, ICD-10, and ICD coding to medical diagnoses and procedures. Review and process medical bills, insurance claims, and patient invoices using EMR/EHR systems. Ensure accuracy and completeness of medical records to support billing activities. Collaborate with healthcare providers to clarify documentation for proper coding. Manage medical collections by following up on unpaid or denied claims. Maintain compliance with healthcare regulations and coding guidelines. Update and manage patient information within electronic systems efficiently. Assist in audits or reviews related to billing and coding accuracy. Experience Proven experience in medical billing and coding within a healthcare setting. Strong knowledge of
DRG, CPT
coding, ICD-9, ICD-10, and ICD coding standards. Familiarity with medical terminology, medical records management, and healthcare documentation practices. Experience working with EMR/EHR systems is highly preferred. Prior experience in medical office administration or related roles is advantageous. Proven experience in pre-certifications Familiarity with high dollar medications Excellent organizational skills with attention to detail to ensure precise coding and billing processes.
Job Type:
Full-time Benefits:
Dental insurance Health insurance Life insurance Paid time off Vision insurance