We are seeking a highly motivated and detail-oriented Medical Billing and Coding Specialist to join our healthcare team. In this vital role, you will be responsible for accurately coding medical procedures and diagnoses, managing billing processes, and ensuring timely reimbursement from insurance providers. Your expertise will help streamline revenue cycles, improve patient records accuracy, and maintain compliance with healthcare regulations.
This position offers an exciting opportunity to contribute to quality patient care through precise documentation and efficient billing practices.
Requirements & Qualifications
Responsibilities
- Review and interpret medical records to assign appropriate ICD-10, CPT, and DRG codes for diagnoses, procedures, and treatments.
- Ensure accurate entry of billing information into EMR or EHR systems for seamless claims processing.
- Submit insurance claims electronically or via paper to various payers, including Medicare, Medicaid, and private insurers.
- Follow up on unpaid or denied claims by investigating discrepancies, appealing rejections, and initiating collections when necessary.
- Maintain detailed documentation of coding decisions, billing activities, and correspondence related to medical records and collections.
- Stay current with updates in medical terminology, coding guidelines, and healthcare regulations to ensure compliance.
- Collaborate with healthcare providers to clarify documentation or resolve billing issues promptly.
Skills and Qualifications
- Strong knowledge of medical terminology, anatomy, and physiology.
- Proficiency in using EMR/EHR systems for data entry and record management; Cerner EMR experience is valuable but not required.
- Expertise in ICD-9/ICD-10 coding systems, CPT coding, DRG assignment, and coding guidelines.
- Experience with medical billing processes, insurance claims submission, and collections management.
- Familiarity with medical records management and HIPAA confidentiality requirements.
- Ability to analyze complex medical documentation to determine appropriate codes and billing procedures.
- Excellent attention to detail and strong organizational skills.
Benefits & Perks
- Health insurance
- Paid time off
- Retirement plan
Location
Tennessee, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 month ago