Hospital Billing Specialist-Coder

Minimum Qualifications

• High school diploma or equivalent required
• Associate degree in healthcare administration or a related field preferred
• Proficiency with medical billing software and EHR systems
• Strong understanding of medical terminology, insurance processes, and billing codes such as CPT and ICD-10
• Excellent communication and organizational skills

Preferred Qualifications

• Certification as a Certified Coding Specialist (CPC or CPC-A)
• Experience with Medicare, Medicaid, and private insurance billing procedures
• Familiarity with HIPAA regulations and patient privacy standards
• Advanced knowledge of healthcare reimbursement methodologies and compliance requirements
• At least 2 years of experience in medical billing, preferably in a hospital or clinical setting

Responsibilities

• Review and verify patient demographic and insurance information before billing
• Prepare and submit insurance claims electronically and on paper
• Collaborate with clinical and administrative staff to resolve coding and billing discrepancies
• Stay current on insurance policies, billing codes, and healthcare regulations
• Use strong attention to detail and analytical skills to maintain accurate billing and documentation