Coder, Biller

Summary

Join our team as a remote Medical Coder and Biller Expert! You'll leverage your expertise in medical coding, billing, and revenue cycle management across diverse projects. Responsibilities include payer reviews, accounts receivable management, and claims edits. The ideal candidate possesses a deep understanding of medical coding guidelines and billing processes, and is adept at navigating payer requirements. This role demands meticulous attention to detail, strong communication skills, and the ability to manage multiple projects simultaneously. We seek a detail-oriented individual with proven experience in medical coding and billing.

Requirements

• 5+ years of experience in medical coding and billing for professional services, with a focus on revenue cycle management
• Strong written and verbal communication skills
• Ability to manage and “own” entire projects
• Meticulous attention to detail and a strong sense of deadlines
• Critical thinking and problem-solving skills
• Proficiency with Excel, Word, and internet tools
• Strong multitasking abilities with a sense of urgency
• Excellent customer service skills
• Strong time management, organizational skills, and a solid work ethic
• CPC Certification
• CPB Certification

Responsibilities

• Accurately review medical records to ensure accuracy of ICD-10, CPT, and HCPCS codes, ensuring compliance with applicable guidelines
• Manage billing for multiple medical specialties
• Review, edit, and process claims to ensure accuracy and compliance with payer requirements
• Resolve claim denials and rejections in a timely manner
• Support clients in managing their revenue cycle, from coding and billing to AR follow-up and reimbursement
• Conduct audits and manage payer payback projects, ensuring compliance and proper documentation
• Meet production and quality benchmarks
• Prepare coding reports and audit summaries, providing recommendations based on findings
• Prepare oral and/or written reports of work activity to Supervisor
• Maintain confidentiality, integrity, and availability of protected health information, adhering to HIPAA security policies. Report any suspected or actual violations
• Perform other duties as assigned

Preferred Qualifications

• Comprehensive knowledge of revenue cycle management within the healthcare industry
• Experience in coding, auditing, compliance, and reimbursement for physician practices, including CPT, HCPCS, and ICD-10
• Coding experience across multiple specialties
• Knowledge of AMA, OIG, CMS and other national coding and compliance guidelines
• Proven ability to manage multiple projects simultaneously
• Exceptional written and verbal communication skills
• Meticulous attention to detail and strong adherence to deadlines
• Ability to think critically and identify optimal solutions for tasks
• Capacity to multitask with a strong sense of urgency
• Strong organizational skills and work ethic
• Proficient in Windows, Excel, Word, and PowerPoint
• Able to sit and use a keyboard and mouse for extended periods
• Consistently meet and maintain department production and quality standards

Benefits

Remote work