Benefits:
Life Insurance
401(k) matching
Competitive salary
Dental insurance
Free uniforms
Opportunity for advancement
Paid time off
Savings bank
Vision insurance
Job Summary A Medical Practice Biller and Coder manages the revenue cycle by translating patient medical records into standardized codes (ICD-10, CPT, HCPCS) for insurance reimbursement. They submit claims, handle denials, and manage patient invoicing, acting as a key liaison between providers and payers to ensure compliant, accurate financial operations.
Responsibilities
Coding: Review patient medical records to assign accurate ICD-10, CPT, and HCPCS codes for diagnoses and procedures.
Billing & Claims: Prepare, review, and transmit claims to insurance companies (electronic or paper).
Accounts Receivable: Follow up on unpaid or denied claims and file appeals when necessary.
Insurance Verification: Verify patient insurance benefits and obtain pre-authorizations prior to service.
Patient Interaction: Discuss patient financial responsibility, explain Explanation of Benefits (EOB), and set up payment plans.
Compliance: Maintain strict confidentiality in compliance with HIPAA and ensure coding meets OIG and CMS regulations.
Qualifications
Certification: Preferred credentials include Certified Professional Coder (CPC) or Certified Professional Biller (CPB) through AAPC or UMA. required
Technical Knowledge: Deep understanding of medical terminology, coding systems, and EHR/billing software. required (eCW desired)
Detail-Oriented: High accuracy in data entry to prevent claim denials. required
Communication: Ability to communicate clearly with physicians, patients, and insurance carriers required