Remote Medical Coding/Billing Specialist | WFH

Medical Billing/Coding Specialist - Remote | Work From Home

Job Overview

We are seeking a detail-oriented Medical Billing/Coding Specialist to join our innovative healthcare team. In this remote role, you will apply your knowledge of insurance regulations, health insurance contracts, and medical coding to support a variety of revenue cycle operations. Reporting directly to the Director of Clinical Services, you will actively contribute to enhancing our billing processes and ensuring compliance with industry standards.

Key Responsibilities

• Interpret and extract patient record information, collaborating with healthcare providers for necessary clarifications.
• Prepare and submit essential documents for the OK Review Choice Demonstration process via the Eservices platform.
• Review documents for accuracy and completeness, making corrections as needed.
• Assign the correct CPT, HCPCS, ICD-10-CM, and DRG codes, ensuring adherence to professional standards and regulatory requirements.
• Conduct audits of patient charts and provide constructive feedback on coding practices to the clinical team.
• Train and advise providers and staff on effective medical coding techniques.
• Act as a liaison for resolving billing software issues and troubleshooting related matters.
• Maintain compliance with medical coding policies and guidelines.
• Stay updated on coding and diagnostic procedures, actively participating in compliance activities as requested.
• Assist in pre-authorization processes for contracted insurances.
• Ensure the practice management system is accurate and up-to-date, managing all aspects of patient account payments and claims processing.
• Deliver exceptional customer service by addressing patient billing inquiries and resolving issues promptly.
• Support various coding, billing, and practice management projects as needed, contributing to operational efficiency.
• Uphold all legal requirements and documentation standards, including HIPAA regulations.
• Assist in the selection, training, and orientation of new personnel as required.
  
  

Required Skills

• Proficient in medical coding systems including CPT, HCPCS, ICD-10-CM, and DRG codes.
• Strong communication skills, both verbal and written.
• Excellent computer skills, including proficiency in Microsoft Office applications and EMR navigation.
• Ability to manage multiple tasks, projects, and deadlines effectively.
• High attention to detail and accuracy in coding and billing tasks.
• Knowledge of general accounting principles and revenue cycle management.
  
  

Qualifications

• High School Diploma, GED, or equivalent.
• Coding Certification from AAPC or AHIMA is required.
• Minimum of one year of relevant experience in medical coding and billing.
• Preferred: Five years of experience in medical coding and billing, particularly with geriatric or home health populations.
  
  

Career Growth Opportunities

Joining our organization offers a unique opportunity for professional growth in the healthcare domain. You will have access to continuous learning and development programs, enabling you to enhance your skills and advance in your career.

Company Culture and Values

We pride ourselves on fostering a supportive and inclusive work environment. Our commitment to diversity and professionalism allows our team members to thrive and contribute to our mission of delivering exceptional patient care.

Networking and Professional Opportunities

As part of our organization, you will have opportunities to connect with industry professionals, participate in collaborative projects, and enhance your professional network through our commitment to continuous improvement and excellence in healthcare.

Compensation And Benefits

• Competitive salary based on experience.
• Comprehensive health, dental, and vision insurance.
• Remote work flexibility, promoting a healthy work-life balance.
• Opportunities for professional development and continuous learning.
  
  

Employment Type: Full-Time