Experienced Medical Billing and Coding Specialist with Surgical Coding Expertise

Description

We are seeking an experienced Billing and Coding Specialist to join our remote team. In this role, you will collaborate closely with the Revenue Cycle Director to ensure accurate, efficient, and thorough coding and abstracting of medical documentation. We value precision and a keen eye for detail, particularly in candidates with surgical coding experience.

What You'll Bring To The Team

• Minimum of 2 years in Medical Billing (preferred)
• Certified Professional Coder (CPC) certification with at least 2 years of experience (required)
• Strong understanding of Revenue Cycle operations, including charge capture, health information management, billing, collections, denials, and bad debt management
• Working knowledge of CPT, HCPC, ICD-9/ICD-10 codes, CMS 1500 claim forms, HIPAA, medical billing regulations, insurance benefits, and the appeals process
• Familiarity with medical billing software and proficiency in Microsoft Windows, Word, and Excel
• Detail-oriented with the ability to handle multiple tasks and distractions in a fast-paced environment
• Excellent communication skills, both written and verbal, with a knack for solving problems
  
  

Why You'll Love Working with Us

• Generous Paid Time Off
• Retirement Plan
• A supportive and enthusiastic work environment
• Opportunities for career growth and development
  
  

Key Responsibilities

• Assist the team in billing department operations, including coding, charge entry, and claims submission
• Analyze billing and claims for accuracy, submit claims to appropriate insurance entities, and follow up to resolve any issues
• Stay updated on current coding and billing regulations and compliance requirements
• Maintain knowledge of health information management, including HIPAA regulations and other health guidelines
• Ensure confidentiality of patient and client information at all times
• Build effective working relationships with team members, clients, staff, and patients
• Abstract information from medical records and assign appropriate codes as needed
• Prepare and submit claims to third-party insurance carriers (electronically or by paper)
• Post charges, payments, and adjustments to accounts
• Understand insurance benefits, including copays, deductibles, and coinsurance
• Communicate with internal providers and external facilities to gather necessary documentation for coding
• Research and resolve rejected and denied claims
• Apply medical terminology and coding guidelines (ICD-10, CPT-4, HCPCS) accurately and ensure compliance with payer rules
• Collaborate with physicians and staff to ensure optimal reimbursement and accuracy in coding
• Review and enter information into the database using medical coding protocols
• Conduct audits and produce data reports as needed
• Perform additional duties as assigned
  
  

Employment Type: Full-Time