Primary Accountability:
The Medical Coder/Biller is responsible for inputting the appropriate ICD-10 CM and CPT-4 codes for various medical services to ensure proper payment for services rendered by the healthcare practitioners and providers. This role will also input patient demographics, insurance, and medical data, in addition to inputting charges and sending claims to insurances and/or billing statements to patients.
Major Duties:
· Reviews the medical records and accurately codes the primary/secondary diagnoses and procedures using ICD-10-CM and/or CPT coding conventions.
· Audits records to ensure proper submission of services prior to billing on pre-determined selected charges.
· Sequences the diagnoses and procedures using coding guidelines. Abstracts and compiles data from medical records for appropriate optimal reimbursement for clinic and/or professional charges.
· Communicates with providers, nursing and ancillary services personnel for needed documentation for accurate coding.
· Oversees the process of retrieving patient information and obtains all missing information in patient records.
· Verifies and enters patient demographic information, corrects CPT/ICD-10 codes to be billed, and current insurance information for each charge.
· Processes and submits claims to various insurance companies.
· Verifies accuracy of payments; posts payments and follows up on any discrepancies, denials and/or appeals.
· Stays up to date and familiar with insurance-specific policies and procedures (claim filing, timely filing, etc.).
· Protects confidential medical information following HIPAA guidelines.
· Assists the Practice/Office Manager with re-credentialing applications for Providers; updates and maintains current CAQH online database for Providers.
· Assists Practice/Office Manager with credentialing of new Providers; processes paper and online Provider applications for insurance company contracting; reviews for errors, and submits to insurance companies within the appropriate time frame.
· Verifies patient demographic information, including checking prior collection status and current insurance information.
· Assists with schedule for providers and communicates.
· Assists with patient financial plans, estimates and payment plans.
· Performs additional duties as assigned by the Practice/Office Manager.
Qualifications:
· High School Diploma/GED is required.
· Medical Coding Certificate (RHIT or CPC certification) is required.
· Two (2) years of experience in the medical field is required.
· Two (2) years of experience in medical billing is strongly preferred.
· Knowledge of federal laws and regulations affecting coding requirements.
· Knowledge of medical terminology is required.
· Knowledge of medical billing practices is required.
· Computer experience including Microsoft Office Software.
· Must possess a thorough knowledge of modern office practices, procedures and equipment, including office automation, calculators, computers, typewriters, copiers and other standard office equipment.
· Familiarity with, or willingness to learn tasks related to medical billing.
· Ability to demonstrate a personality which is pleasant, cooperative and mature.
· Ability to maintain confidentiality.
· Ability to effectively communicate, present information and respond to questions, both in a written and verbal manner.
· Ability to keep and maintain accurate records, filing systems and make reports in a timely manner, as directed.
· Ability to work independently and in team settings, including with other physician offices and across multiple departments.
· Self-motivated and interested in working with other people, as well as maintaining a good team attitude.
- Detail oriented with a high degree of accuracy and thoroughness.
- Demonstrated ability to identify and solve problems.
Job Type: Full-time
Pay: $19.00 - $23.00 per hour
Expected hours: 32 – 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
Work setting:
- Clinic
- Medical office
- Office
- Private practice
Application Question(s):
- Are you willing to have an extensive background check, credit check and drug screen? Please list at least professional references by name, mobile, and email.
Education:
- High school or equivalent (Required)
Experience:
- billing and coding: 2 years (Required)
Shift availability:
Ability to Commute:
- Manhattan, KS 66503 (Required)
Ability to Relocate:
- Manhattan, KS 66503: Relocate before starting work (Required)
Work Location: In person