SUMMARY: Hybrid Full Time Billing Specialist performs diagnosis and procedural coding to individual patient health information for data retrieval, analysis, and claims processing.
DUTIES AND RESPONSIBILITIES: - Reviews the patient 's medical record for accurate and complete documentation prior to coding.
- Works closely with the physician coordinator regarding discrepancies found in patient's record prior to claim submission
- Codes for assigned physicians, locations, and/or departments from review of medical record documentation.
- Applies knowledge of current coding and billing requirements to assure claims are submitted correctly
- Brings identified concerns and trends to the manager/team lead for resolution.
- Reviews coding and billing worklists and resolves claim rejections.
- Enters patient demographic information and verifies patient insurance coverage
QUALIFICATIONS: - Working knowledge of CPT and ICD10 coding
- Medical coding certification preferred but not required
- Minimum 2 years' experience in medical billing and coding
- Excellent attention to detail and follow up
- Knowledgeable of payer rules and requirements for both coding and eligibility checking
- High school diploma or general education degree
- Computer skills required: Efficient data entry skills for both speed and accuracy
JOB TYPE / WORK SCHEDULE: - This is a full-time position, Hybrid position after initial (3) month period
- Standard office hours, Monday - Friday
- Bilingual (Required)
Competitive pay and a full benefits package, including 401(k), health, dental, vision, life, and disability insurance.