Lake Country Pediatrics
Okauchee Lake, WI
Job Summary As a Billing & Coding Specialist, you are responsible for conducting the assigned billing department’s daily operations within the healthcare setting. This includes preparation and submission of claims to insurance companies, ensuring accuracy in billing processes, maintaining records, monitoring and conducting proper follow up with insurance companies, and all other duties as assigned. This position is critical to maintaining a healthy revenue cycle and providing excellent support to patients and providers.
Responsibilities Review medical records and documentation to assign appropriate ICD-10 (International Classification of Diseases, 10th Revision), CPT (Current Procedural Terminology), and DRG (Diagnosis-Related Group) codes for billing purposes
Prepare and submit accurate claims to insurance companies using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems
Follow up on unpaid or denied claims through effective medical collection...