Medical Billing and Coding Specialist II

This is a fully remote position, open to applicants in United States.

📋 Description

• Evaluate claims against patient records prior to submission to ensure that ICD/CPT coding accurately represents the diverse patient population and aligns with clinical protocols, strategic objectives, and value-based care goals.

• Review and manage medical records for billing purposes, guaranteeing precision and thorough documentation.

• Submit insurance claims and monitor outstanding payments diligently.

• Collect payments for services rendered and liaise with patients and insurance providers regarding billing inquiries.

• Collaborate with healthcare providers to address discrepancies in patient records and resolve billing issues.

• Ensure adherence to relevant medical billing and coding regulations and guidelines.

• Investigate intricate claims and reimbursement challenges, identify underlying systemic issues, and coordinate corrective measures across teams.

• Perform additional responsibilities as assigned by the Revenue Cycle Manager and/or Revenue Cycle Lead.

⛳️ Requirements

• Efficient in processes and capable of swiftly adapting to complex billing and coding requirements.

• Skilled in medical coding practices, with a solid understanding of ICD-10 codes.

• Strong grasp of medical terminology and the healthcare sector.

• Experience in a medical office setting, specifically in billing or coding positions.

• Familiarity with medical billing systems and software applications; experience with Athena is preferred.

• Exceptional attention to detail and organizational abilities to handle multiple tasks effectively.

• Strong communication skills for effective interaction with patients, healthcare providers, and insurance companies.

• Ability to work both independently and collaboratively as part of a team.

• Preferred: A minimum of 10 years of experience in any revenue cycle capacity.

• Commitment to preserving the integrity of patient information and complying with healthcare regulations.

• Capability to manage sensitive patient information in accordance with HIPAA regulations.

🏝️ Benefits

• Full-Time position with benefits.

• Comprehensive medical, dental, and vision insurance.

• HSA & FSA options available.

• 401(k) retirement plan.

• Unlimited Paid Time Off (PTO).

• Additional perks such as Wellhub and Talkspace.

• Security and privacy training provided.