Medical Biller / Certified Coder

Job Summary

Responsible for all aspects of the medical billing process, from generating completed medical claims submissions to a completed and paid A/R. The role receives encounters from the EMR or other sources, prepares encounters for submission, abstracts clinical information from medical records, assigns appropriate DX and/or CPT-4 codes, corrects errors and denials, and maintains accounts receivable processes to support organizational goals.

Key Responsibilities

• Review and analyze records to identify and correct errors.
• Prepare encounters and coded medical billing claims generated from the EMR for submission to insurance carriers or other parties.
• Submit claims accurately the first time.
• Determine correct encounter codes from patient records and maintain detailed coded information.
• Abstract data from medical records to support diagnosis coding and charge capture.
• Interact with physicians and assistants to ensure documentation and coding accuracy.
• Track patient data across multiple visits.
• Communicate with providers, audit records, and provide training as needed.
• Identify documentation and coding inconsistencies.
• Report issues that impact reimbursement and revenue cycle performance.
• Maintain A/R goals and daily A/R functions.
• Correct errors and denials from designated work queues.
• Participate in department meetings, training sessions, and webinars as requested.
• Perform other duties as assigned within the scope of the role.

Work Environment

• Location: Kent Campus Hospital
• Status: Full Time, 80 Hours
• Shift: Days