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AC
Advanced Cardiovascular Clinic
Certified Medical Coder/Biller
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Based on Michigan data
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What they do
A Medical Biller handles payments and financial transactions between health care providers and patients. Manages systems for mailing bills and collecting and recording payments. Works in healthcare facilities and hospitals.
$42,590 / year median in Michigan
-8% projected decline
Job Description
Position Summary At Advanced Cardiovascular Clinic, we maintain a family-friendly atmosphere, specializing in quality care, and we are aiming for expanding our practice so we can continue making a positive difference in our local community. In doing so, we are seeking a detail-oriented, dependable, and motivated Certified Medical Coder/Biller to join our growing cardiovascular practice. The ideal candidate will have strong knowledge of medical coding, insurance billing, and the medical revenue cycle, with experience coding cardiovascular procedures and Evaluation & Management (E&M) services. This individual will play a key role in ensuring accurate coding, timely claim submission, reimbursement optimization, and exceptional patient service. Responsibilities Responsibilities include, but are not limited to: Assign accurate ICD-10-CM, CPT, and HCPCS codes for cardiovascular procedures and Evaluation & Management (E&M) services. Review provider documentation to ensure coding accuracy, completeness, and compliance with payer and regulatory guidelines. Submit and process insurance claims electronically. Follow up on unpaid, denied, and underpaid insurance claims to ensure timely reimbursement. Research and resolve claim denials, payment discrepancies, and coding edits. Verify patient insurance eligibility, benefits, and authorization requirements. Process patient billing, answer billing inquiries, and assist patients with payment questions. Post insurance and patient payments accurately when needed. Work collaboratively with providers and clinical staff to improve documentation and coding accuracy. Monitor payer policy changes and maintain compliance with Medicare, Medicaid, commercial payer, HIPAA, and coding guidelines. Assist with revenue cycle initiatives to improve clean claim rates and reduce denials. Perform additional billing, coding, and administrative duties as assigned.