Job Title: Insurance Biller and Coder
Position Summary
The Insurance Biller and Coder is responsible for accurate medical coding, timely insurance claim submission, and efficient revenue cycle management. This role ensures that all services provided by Kirar Superior Healthcare are coded correctly, billed promptly, and compliant with applicable regulations. The ideal candidate demonstrates strong analytical skills, attention to detail, and a solid understanding of insurance processes to support financial integrity and patient satisfaction.
Medical Coding
Review clinical documentation to accurately assign ICD-10, CPT, and HCPCS codes
Ensure coding accuracy, completeness, and compliance with payer and regulatory guidelines
Identify and resolve coding discrepancies in collaboration with clinical staff
Stay current with coding updates, policy changes, and industry standards
Insurance Billing & Claims Management
Prepare, submit, and track insurance claims in a timely manner
Monitor claim status, follow up on unpaid or denied claims, and initiate appeals when necessary
Verify patient insurance eligibility and benefits prior to billing
Post payments, adjustments, and reconcile accounts accurately
Revenue Cycle Support
Analyze denials and underpayments to identify trends and improve reimbursement
Maintain accurate billing records and financial documentation
Work closely with front desk and clinical teams to ensure complete and accurate charge capture
Assist with audits and compliance reviews as required
Communication & Coordination
Communicate effectively with insurance carriers, patients, and internal departments
Respond to billing inquiries professionally and clearly
Educate patients on insurance coverage, billing statements, and payment responsibilities
Required Competencies, Behaviors & Knowledge
Core Competencies
Strong attention to detail and analytical thinking
Excellent organizational and time-management skills
Ability to work independently and meet deadlines
Proficiency with billing software, EMR systems, and Microsoft Office
Professional Behaviors
High level of integrity, confidentiality, and ethical conduct
Calm, professional demeanor when handling billing issues or denials
Accountability and commitment to accuracy
Team-oriented and solution-focused approach
Knowledge Requirements
In-depth knowledge of medical coding standards (ICD-10, CPT, HCPCS)
Understanding of insurance plans, payer policies, and reimbursement processes
Familiarity with healthcare compliance and privacy regulations
Knowledge of denial management and appeals processes
Qualifications
High school diploma or equivalent (required)
Certification in medical coding (CPC, CCS, or equivalent) preferred
Previous experience in medical billing and coding preferred
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