Medical Coding And Billing Specialist
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.