$45,000 a year
Full-time Bonati Spine Institute 17 reviews $42,000
$45,000 a year

•

Full-time Job Title:

Medical Biller & Coder Position Summary The Medical Biller & Coder is responsible for reviewing patient encounters, assigning accurate medical codes, entering charges, and ensuring timely and compliant claims submission. This role supports revenue cycle operations by maintaining data accuracy, correcting claim errors, and monitoring claim acceptance through clearinghouse and payer systems, in alignment with established billing and coding workflows. Essential Job Functions 1. Patient Encounter Review & Eligibility Verification Review medical records to verify completeness of documentation for each patient encounter Confirm patient insurance eligibility and active policy status Validate prior authorizations and ensure authorization numbers match scheduled procedures 2. Medical Coding Assign accurate

ICD-10-CM

diagnosis codes with highest level of specificity Assign appropriate CPT and HCPCS procedure codes and link to diagnosis codes Apply correct medical coding modifiers as applicable Perform CCI (Correct Coding Initiative) edits checks to ensure code compliance and prevent bundling issues 3. Charge Entry Verify patient demographic information (name, DOB, insurance/self-pay status) Enter rendering, referring, and billing provider information, including NPIs Input validated ICD-10, CPT, and modifier codes into billing system Link procedure codes to appropriate diagnosis codes Verify accuracy of date of service (DOS) across all documentation and claims 4. Claim Scrubbing & Pre-Submission Audits Review daily patient schedule and reconcile total charges entered Identify and correct front-end billing errors prior to claim generation Balance daily batches and ensure alignment between coded encounters and entered charges 5. Electronic Claims Submission Prepare claims for submission by setting status to \"ready to submit\" Transmit claims electronically to clearinghouse via billing software Review transmission reports/logs to confirm successful submission of claim batches 6. Clearinghouse Review & Claim Follow-Up Review clearinghouse reports (e.g., 277 reports) to monitor claim status Identify and correct rejected claims and resubmit promptly Track claims through payer adjudication to ensure acceptance Submit Bi-Weekly and Monthly reports to our Controller with claim updates and Accounts Receivable. Qualifications High school diploma or equivalent required; Associate degree in Health Information Management or related field preferred Minimum 2+ years of medical billing and coding experience in a healthcare setting preferred Certification preferred (e.g., CPC, CCS, or equivalent) Strong knowledge of ICD-10-CM, CPT, HCPCS, and payer guidelines Experience with electronic medical records (EMR) and billing systems specially EcW Knowledge, Skills, & Abilities Strong attention to detail and accuracy in data entry and coding Ability to interpret medical documentation and apply appropriate coding standards Knowledge of insurance verification and authorization processes Familiarity with claims submission workflows and clearinghouse operations Ability to identify and resolve billing errors efficiently Strong organizational and time management skills Physical & Work Requirements (ADA Compliant) Ability to sit for extended periods while working at a computer Frequent use of hands for typing and data entry Ability to view computer screens for prolonged periods Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions Work Environment Office-based or healthcare administrative setting Minimal physical exertion required Frequent interaction with billing systems, EMRs, and administrative staff Compliance & Standards Adhere to HIPAA regulations and patient confidentiality requirements Ensure compliance with all federal, state, and payer-specific billing and coding guidelines Follow internal SOPs and revenue cycle procedures for accuracy and audit readiness EEO Statement We are an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, age, disability, or any other protected status in accordance with applicable laws.

Pay:

$42,000.00

$45,000.

00 per year

Benefits:

Dental insurance Health insurance Life insurance Paid time off

Work Location:

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