The Medical Coder/Biller is responsible for reviewing medical records and assigning accurate medical codes for diagnoses, procedures, and treatments in compliance with federal, state, and payer regulations. This role ensures the proper coding of healthcare services to facilitate accurate billing, reimbursement, and data reporting for healthcare providers, insurance companies, and governmental agencies. This position is located in Buffalo NY and is not remote.

Key Responsibilities:

Medical Coding:

Assign ICD-10-CM, CPT, and other relevant codes to patient diagnoses, procedures, and treatments based on the information in medical records.

Coding Accuracy:

Ensure accurate coding in compliance with industry standards, policies, and regulations to avoid claim denials or delays.

Medical Record Review:

Review patient medical charts and documentation for completeness, accuracy, and compliance with coding guidelines.

Compliance:

Stay updated on coding and billing regulations, including HIPAA, ICD-10, Medicare, Medicaid, and private insurance requirements.

Charge Entry:

Input and process charges into the healthcare provider's billing system.

Claim Submission:

Work with billing teams to ensure timely and accurate claim submissions to insurance companies or other payers.

Providers:

If documentation is unclear or incomplete, communicate with healthcare providers to clarify or obtain missing information.

Documentation Auditing:

Conduct periodic audits of medical records to ensure accuracy and compliance with coding standards.

Revenue Cycle Support:

Assist in identifying coding-related issues that could impact revenue cycle operations, including claim denials and underpayments.

Ongoing Education:

Participate in continuing education to maintain certification and stay updated on new coding rules and standards. This position is ideal for candidates who are passionate about healthcare, possess strong analytical skills, and are eager to contribute to the efficiency of medical operations through precise coding practices.

Qualifications:

Certification:

Certified Professional Coder (CPC) from the American Academy of Professional Coders (AAPC) or Certified Coding Specialist (CCS) from AHIMA is required.

Experience:

minimum of 3 years medical coding

Pay:

$23.00 - $27.00 per hour Expected hours: 40.0 per week

Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Health insurance Life insurance Paid time off Vision insurance

Work Location:

In person