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EXL Service

Medical Records Clerk

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Job Description

Overview Join our dynamic healthcare team as a Medical Records Clerk, where your attention to detail and passion for accuracy will play a vital role in maintaining the integrity of patient records and supporting our billing and coding operations. In this energetic position, you will manage electronic health records (EHR) systems, ensure compliance with medical coding guidelines, and facilitate seamless medical record management to enhance revenue cycle processes. Your expertise will directly contribute to efficient insurance claim processing and high-quality patient care documentation. Responsibilities Accurately organize, file, and maintain comprehensive medical records in electronic health record (EHR) and electronic medical record (EMR) systems, ensuring easy retrieval and confidentiality. Review and code medical documents using ICD-9, ICD-10, CPT, and DRG coding standards to support billing accuracy and compliance with medical coding guidelines. Process health insurance claims by verifying patient information, applying appropriate ICD coding, CPT codes, and DRG classifications for inpatient services. Collaborate with billing departments to facilitate medical collection efforts and ensure timely revenue cycle management. Maintain up-to-date knowledge of health insurance policies, third-party billing procedures, and insurance claim processing requirements to optimize reimbursement. Assist in auditing medical records for completeness, accuracy, and adherence to regulatory standards; update records as needed. Support the use of billing software and EMR/EHR systems for efficient data entry, coding, and billing operations. Requirements Proven experience in a medical office setting with familiarity in medical records management, billing software, and EMR/EHR systems. Strong understanding of medical terminology, medical coding guidelines (ICD-9/10, CPT), DRG classification, and inpatient/outpatient coding practices. Knowledge of health insurance claim processing, third-party billing procedures, and revenue cycle management. Ability to interpret medical documentation accurately for coding purposes while adhering to compliance standards. Excellent organizational skills with attention to detail; capable of managing multiple tasks efficiently. Prior experience with ICD coding (ICD-9/10), CPT coding, and medical collection processes is highly preferred. Effective communication skills to collaborate with healthcare providers, billing teams, and insurance companies. Embark on a rewarding career where your expertise enhances healthcare delivery through precise recordkeeping and billing excellence!
Pay:
$27.58 - $35.40 per hour
Benefits:
Dental insurance Flexible schedule Parental leave Relocation assistance Retirement plan
Work Location:
Hybrid remote in Pittsburgh, PA 15227