Position Summary
We are seeking a detail-oriented and knowledgeable Medical Biller and Coder to join our healthcare clinic team. This role is responsible for accurately coding medical procedures and diagnoses, submitting insurance claims, posting payments, and ensuring timely reimbursement while maintaining compliance with healthcare regulations and clinic policies. The ideal candidate is organized, professional, and committed to supporting quality patient care through accurate billing and coding practices.
Essential Duties and Responsibilities
- Review patient charts, clinical documentation, and physician notes for accurate coding and billing
- Assign appropriate ICD-10, CPT, and HCPCS codes for services rendered
- Prepare and submit electronic and paper insurance claims in a timely manner
- Verify insurance eligibility, benefits, and authorization requirements
- Monitor unpaid claims and follow up with insurance companies regarding denials, underpayments, or delayed payments
- Research and resolve billing discrepancies and claim rejections
- Post payments, adjustments, and patient balances accurately into the billing system
- Communicate professionally with patients regarding billing questions, payment arrangements, and account balances
- Maintain confidentiality of patient information in compliance with HIPAA regulations
- Stay current on coding updates, payer guidelines, and healthcare billing regulations
- Collaborate with providers, front office staff, and management to improve billing accuracy and workflow efficiency
- Assist with month-end reporting and other administrative duties as assigned
Qualifications
- High school diploma or GED required
- Certification in Medical Billing and Coding preferred (CPC, CCS, CBCS, or equivalent)
- Minimum of 1–2 years of medical billing and coding experience preferred
- Knowledge of ICD-10, CPT, and HCPCS coding systems
- Familiarity with insurance verification, claims processing, and denial management
- Experience working with electronic medical records (EMR) and billing software
- Strong attention to detail and accuracy
- Excellent communication and customer service skills
- Ability to multitask and manage deadlines in a fast-paced healthcare environment
- Proficient in Microsoft Office applications
Preferred Skills
- Knowledge of Medicare, Medicaid, and commercial insurance guidelines
- Understanding of medical terminology and anatomy
- Ability to maintain professionalism and confidentiality at all times
- Strong problem-solving and organizational skills