Overview We're looking for a Medical Billing and Coding Specialist, where your expertise will drive accurate revenue cycle management and ensure seamless insurance claim processing. In this vital role, you will leverage your knowledge of medical coding guidelines, insurance procedures, and billing software to optimize our organization's financial health. Your attention to detail and proficiency in electronic health record (EHR) systems will help us deliver exceptional service to our patients and providers alike. This position offers an exciting opportunity to contribute to efficient healthcare operations while advancing your career in medical billing and coding. Duties Accurately assign ICD-10, ICD-9, CPT, and DRG codes for services following current medical coding guidelines. Review and interpret medical records, documentation, and reports to ensure proper coding for billing purposes. Process health insurance claims using advanced billing software and electronic health record (EHR/EHR) systems, ensuring compliance with third-party payer requirements. Manage the revenue cycle by submitting claims, following up on unpaid or denied claims, and performing medical collections when necessary. Verify patient insurance coverage, benefits, and eligibility to facilitate smooth claim processing and reduce claim rejections. Maintain detailed records of medical coding activities, claim submissions, adjustments, and payments for audit readiness. Collaborate with healthcare providers to clarify documentation discrepancies and ensure accurate coding for both inpatient and outpatient services. Qualifications Proven experience in medical office settings with a strong understanding of medical terminology, records management, and billing procedures. Proficiency in EMR/EHR systems, billing software, and electronic health record management for billing and coding tasks. Comprehensive knowledge of health insurance claim processing, third-party billing practices, and revenue cycle management. Familiarity with
ICD-10/ICD-9
coding systems, CPT coding (Current Procedural Terminology), DRG (Diagnosis Related Group), and medical coding guidelines. Strong understanding of medical collection processes and insurance reimbursement procedures. Ability to interpret complex medical records accurately while adhering to coding standards for inpatient services. Excellent attention to detail, organizational skills, and the ability to work efficiently under deadlines. Join us as a Medical Billing and Coding Specialist to make a meaningful impact on healthcare delivery through precise coding practices and efficient revenue cycle management!