We are seeking a skilled and detail-oriented Medical Billing Coder to join our team. The successful candidate will be responsible for accurately assigning appropriate medical codes to diagnoses and procedures for reimbursement purposes. The Medical Billing Coder will work closely with healthcare providers, billing specialists, and insurance companies to ensure timely and accurate billing processes.
Responsibilities:
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Assign appropriate medical codes to diagnoses and procedures according to coding guidelines and regulations (ICD-10, CPT, HCPCS).
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Review medical records and documentation to ensure accurate code assignment.
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Communicate with healthcare providers to clarify documentation and coding discrepancies.
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Collaborate with billing specialists to submit clean claims and resolve coding-related denials.
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Stay up-to-date on changes in coding guidelines, regulations, and payer policies.
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Participate in coding audits and compliance reviews as needed.
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Maintain confidentiality of patient information and comply with HIPAA regulations.
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Provide coding expertise and support to other members of the billing team.
Requirements:
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Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) required.
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Minimum of 5 years of experience in medical coding and billing.
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Proficiency in ICD-10, CPT, and HCPCS coding systems.
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Strong understanding of medical terminology, anatomy, and physiology.
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Excellent attention to detail and accuracy in coding assignments.
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Ability to work independently and prioritize tasks in a fast-paced environment.
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Effective communication and interpersonal skills.
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Proficiency in using coding software and electronic health records (EHR) systems.
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Commitment to maintaining coding accuracy and compliance with regulatory requirements.
Preferred Qualifications:
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Experience working in a healthcare setting, such as a hospital, clinic, or medical practice.
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Knowledge of insurance billing processes and reimbursement methodologies.
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Familiarity with revenue cycle management principles.
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Additional coding certifications or credentials (e.g., CPMA, CRC, etc.).