Certified Medical Biller

Job Description

Job Description

We are seeking a detail-oriented and highly skilled Medical Coder and Biller to join our healthcare administration team. The ideal candidate will possess a comprehensive understanding of medical coding, billing procedures, and medical record management. This role is vital in ensuring accurate reimbursement processes, compliance with coding standards, and efficient handling of patient accounts. The successful applicant will demonstrate proficiency in various coding systems, including ICD-10, CPT, and DRG, along with strong knowledge of medical terminology and electronic health record (EHR) systems. This position offers an excellent opportunity to contribute to the financial health of our organization while supporting high-quality patient care.

Duties

• Review and analyze medical records to assign appropriate ICD-10 diagnosis codes and CPT procedure codes with precision.
• Ensure accurate coding for inpatient and outpatient services, including DRG classifications for hospital billing.
• Prepare and submit claims using electronic billing systems, ensuring compliance with insurance requirements and regulations.
• Follow up on unpaid or rejected claims through effective medical collection practices to optimize revenue recovery.
• Maintain thorough and organized medical records, ensuring all documentation aligns with coding standards and legal requirements.
• Collaborate with healthcare providers to clarify documentation and improve coding accuracy.
• Stay current with updates in ICD coding systems, CPT codes, and healthcare regulations to ensure ongoing compliance.
• Utilize EMR (Electronic Medical Records) and EHR (Electronic Health Record) systems efficiently to streamline billing processes.

Skills

• Extensive knowledge of ICD-9, ICD-10, CPT coding, and DRG classifications essential for precise medical coding.
• Strong understanding of medical terminology, anatomy, pathology, and pharmacology to accurately interpret clinical documentation.
• Proven experience in medical billing processes and effective medical collection techniques.
• Familiarity with healthcare reimbursement policies, insurance claim procedures, and regulatory compliance standards.
• Proficiency in using EMR/EHR systems for documentation review, coding entry, and billing workflows.
• Excellent attention to detail combined with analytical skills to identify discrepancies or errors in records or claims.
• Effective communication skills for collaborating with healthcare providers, insurance companies, and patients when necessary. Join our team as a Medical Coder and Biller to ensure the integrity of our billing operations while supporting the delivery of exceptional healthcare services through meticulous coding accuracy and efficient revenue cycle management!