Medical Billing Specialist

Responsibilities

• Scrub claims to ensure that all diagnosis codes (ICD-10-CM) and procedure codes (CPT/HCPCS) meet coding standards and comply with coding guidelines and regulations
• Submit scrubbed claims to appropriate payers
• Post payments, AR management, review and resolve denials and inquiries
• Stay updated with the latest coding guidelines, regulations and industry changes
• Maintain confidentiality and adhere to HIPAA regulations
• Balance cash receipts report to all batch receipts daily
• Document all follow up efforts in a clear and concise manner into the AR system
• Initiate refunds if necessary
• Support RCM initiatives and relevant RCM efforts

Requirements

• 2 years of medical coding and billing experience required
• Knowledge of anatomy, physiology, and medical terminology
• EHR system experience
• Strong analytical and problem-solving skills
• Excellent attention to detail and highly organized
• Ability to work independently and in a team environment
• Effective communication skills, both written and verbal
• Ability to maintain benchmarks such as production and low error rate

Qualifications

• High school diploma or equivalent
• Current certification as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS)

Skills

• Medical coding and billing
• Anatomy and physiology
• Medical terminology
• Electronic Health Records (EHR) systems
• Coding standards and regulations
• Denial management
• AR management
• Confidentiality and HIPAA compliance
• Time management and organization
• Communication skills
• Problem-solving and analytical skills

Benefits

• Eligible to Work Remote
• Quarterly Bonus Program
• Health Insurance
• Dental & Vision Insurance
• Flexible Spending and HSA plans
• Life & Disability Insurance
• 401k with employer match
• Paid Time Off