Medical Biller and Coding Specialist

Job Description:
We are currently seeking dedicated and skilled Medical Billers and Coding Specialists to join our team. If you are passionate about accuracy, detail-oriented, and experienced in medical billing and coding, we invite you to apply.

Key Responsibilities:

  • Reviewing Clinical Documentation: Analyze chart notes and clinical documentation to accurately assign appropriate codes.
  • CPT Code Verification: Verify and ensure the correct assignment of CPT codes for medical procedures and services.
  • Insurance Payer Management: Determine the correct insurance payer for claims submission, ensuring adherence to specific payer guidelines and policies.
  • Understanding Insurance Plans: Familiarity with various insurance plans and the ability to navigate and interpret plan requirements.
  • Clearing House Interactions: Efficiently deal with clearing houses to resolve claim issues, rejections, and denials.
  • Quality Assurance: Conduct regular audits to maintain the accuracy and integrity of coded data.

Qualifications:

  • Experience: Minimum of 1 year of experience in medical billing and coding in a healthcare Clinic setting.
  • Knowledge: Proficiency in medical terminology, anatomy, and coding guidelines (ICD-10, CPT, HCPCS).
  • Technical Skills: Familiarity with Athena Health  EMR and medical billing software is preferred but not required
  • Communication: Strong communication skills, both written and verbal, to effectively interact with healthcare providers, insurance companies, and team members.
  • Attention to Detail: Exceptional attention to detail and accuracy in coding and billing procedures.

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