We are seeking a Remote Billing and Coding Specialist to collaborate directly with our Revenue Cycle Director, ensuring meticulous and efficient coding and documentation abstraction. This role demands expertise in both diagnostic and procedural medical coding and billing practices.
Experience
2-3 years of experience in Medical Billing (required)
Coding Certification (CPC)
Proficiency in Revenue Cycle operations: charge capture, health information management, billing, collection, denials, and bad debt.
Thorough knowledge of CPT, HCPC, ICD-9/ICD-10 codes, CMS 1500 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits, and the appeal process.
Familiarity with Microsoft Windows, Microsoft Office (Word & Excel), and medical billing software.
Detail-oriented with the ability to manage interruptions and multitask effectively.
Excellent mathematical, written, and verbal communication skills.
Benefits Offered
Generous Paid Time Off
Retirement Plan
Supportive work environment with an enthusiastic team
Opportunities for career growth
Essential Job Functions
Support billing department operations including coding, charge entry, and claims submissions.
Analyze billing and claims for accuracy, submit claims to insurance entities, and resolve submission issues.
Stay updated on current coding and billing regulations and compliance requirements.
Maintain knowledge of health information management principles including HIPAA.
Adhere to billing guidelines and established policies and procedures.
Address rejections in clearinghouse software and make necessary claim adjustments.
Ensure confidentiality of patient and client information.
Foster effective relationships with team members, clients, staff, and patients.
Regular, predictable attendance is essential.
Extract information from medical records and assign appropriate codes.
Prepare and submit claims to insurance carriers electronically or via hard copy.
Post charges, payments, and adjustments accurately.
Understand insurance benefits such as copays, deductibles, and coinsurance.
Collaborate with providers and facilities to gather coding documentation.
Research and resolve rejected and denied claims.
Apply medical terminology and coding guidelines to optimize reimbursement.
Enter information into databases following coding protocols.
Perform audits and prepare data reports for supervisors.
Perform other duties as assigned.
Employment Type: Full-Time
Seniority level
Entry level
Employment type
Full-time
Job function
Health Care Provider
Industries
Human Resources Services
Referrals increase your chances of interviewing at Get It Recruit - Healthcare by 2x