Medical Coding And Billing Specialist at DrHouse, Inc.

About Us:
Dr House is a trusted leader in telemedicine, providing high-quality virtual healthcare services across the United States. Our mission is to make healthcare more accessible and convenient for patients nationwide. We are seeking a highly experienced Medical Coding and Billing Specialist to join our team and ensure the accuracy, compliance, and efficiency of our medical coding and billing processes!

Key Responsibilities:

• Perform precise coding of telemedicine visits using CPT, ICD-10-CM, and HCPCS Level II codes in compliance with US healthcare standards.
• Ensure accurate documentation review and coding to meet payer and regulatory requirements.
• Manage insurance claims processing, including submission, tracking, and resolution of denials or rejections.
• Maintain accurate patient billing records and verify insurance eligibility and benefits.
• Ensure compliance with HIPAA and other relevant healthcare regulations.
• Provide expert guidance to the team on coding updates, payer-specific guidelines, and telemedicine-specific billing practices.
• Identify areas for process improvement and contribute to the efficiency of the revenue cycle.
• Stay current on changes in coding standards, telemedicine billing practices, and payer requirements.

Qualifications:

• Certification: Valid CPC, CCS, or equivalent certification in medical coding and billing.
• Experience: Minimum of 5+ years of professional experience in medical coding and billing for the US healthcare market, with a strong focus on telemedicine.
• Advanced understanding of Telehealth coding, modifiers, and insurance payer-specific requirements.
• Experience in claim denial management and resolution, with a proven track record of success.
• Proficiency in working with EHR systems and billing software.
• In-depth knowledge of US healthcare regulations, including HIPAA compliance.
• Strong organizational, analytical, and problem-solving skills.
• Excellent communication skills, both written and verbal.

Preferred Qualifications:

• Experience working with a variety of US insurance providers, including Medicare, Medicaid, and private payers.
• Comprehensive understanding of revenue cycle management processes.
• Demonstrated ability to work independently and handle complex billing cases.

What We Offer:

• Competitive compensation package.
• Opportunity to work in a dynamic and fast-growing telemedicine company.
• Continuous professional development and training.
• Flexible remote work environment.
• A chance to make a meaningful impact on improving healthcare accessibility.