Company Overview JPBAMC is a busy orthopedic practice located in the UTC area, specializing in workman's compensation and personal injury cases. Led by a seasoned orthopedic specialist with over 17 years of experience, the practice is dedicated to providing comprehensive orthopedic care with a focus on efficient billing and coding processes. Job Summary We are seeking a meticulous and detail-oriented Medical Coder and Biller to join our team. The ideal candidate will possess extensive knowledge of medical coding standards, billing procedures, and insurance claim processing. In this role, you will be responsible for accurately coding medical records, managing billing operations, and ensuring compliance with healthcare regulations. Your expertise will directly contribute to the smooth revenue cycle management of our practice, supporting optimal financial performance and high-quality patient care. Responsibilities Review and analyze medical records to assign appropriate ICD-9, ICD-10, CPT, and DRG codes in accordance with current medical coding guidelines. Ensure accurate electronic health record (EHR) management for billing and coding purposes using specialized billing software and EMR/EHR systems. Prepare and submit insurance claims to third-party payers, verifying coverage details and processing payments efficiently. Maintain detailed documentation of all billing activities, including medical records review, coding decisions, and claim submissions. Collaborate with healthcare providers to clarify documentation discrepancies and ensure proper code assignment for inpatient and outpatient services. Stay updated on changes in health insurance policies, coding regulations, and reimbursement procedures to ensure compliance. Assist in revenue cycle management by identifying billing errors or claim denials and implementing corrective actions to optimize collections. Skills Proficiency in

ICD-9, ICD-10, CPT

coding, and DRG classification systems. Strong knowledge of medical terminology, medical records management, and healthcare documentation standards. Experience with billing software platforms and electronic health record (EHR) systems used for billing and coding processes. Familiarity with health insurance claim processing, third-party billing procedures, and revenue cycle management strategies. Understanding of medical office operations within a clinical setting specializing in orthopedics or related fields. Excellent attention to detail with the ability to interpret complex medical documentation accurately. Knowledge of medical collection practices and insurance reimbursement policies related to inpatient services. Join our team as a Medical Coder and Biller to ensure precise coding practices that support our practice's financial health while maintaining the highest standards of accuracy and compliance in healthcare billing.

Pay:

$25.00 - $31.00 per hour

Benefits:

Dental insurance Health insurance Paid time off

Experience:

work comp billing: 3 years (Required)

Work Location:

Hybrid remote in La Jolla, CA 92037