The Miccosukee Tribe of Indians of Florida Clinic is seeking a Medical Biller & Coder is responsible for accurately translating medical services, diagnoses, and procedures into standardized codes and submitting claims to insurance companies, government programs, and other payers. This role supports timely reimbursement, regulatory compliance, and effective communication with providers, payers, and patients.
Duties and Responsibilities
Review medical records, provider notes, and clinical documentation to assign accurate ICD-10, CPT, and HCPCS codes
Prepare, submit, and track insurance claims
Verify patient insurance coverage, eligibility, and benefits
Identify, research, and resolve claim denials, rejections, and payment discrepancies
Post payments, adjustments, and refunds accurately in the billing system
Communicate with insurance companies, healthcare providers, and patients regarding billing issues
Ensure compliance with HIPAA, CMS, and other federal, state, and payer-specific regulations
Maintain up-to-date knowledge of coding guidelines, billing rules, and payer policies
Generate billing reports and assist with audits as needed
Support revenue cycle improvement initiatives and process optimization
Perform other duties as assigned
Qualifications
Maintain active license and CEUs
Minimum of 1–3 years of experience in medical billing and coding preferred
Strong knowledge of medical billing and coding systems (ICD-10, CPT, HCPCS)
Experience with Medicare, Medicaid, and private insurance billing
Excellent written and verbal communication skills
Strong organizational and time-management abilities
Strong analytical and problem-solving skills
Ability to handle confidential information with professionalism
Drug test and Background Screen Required.
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