Medical Billing and Coding Specialist

Job Description

Job Description

Description :

We are seeking a detail-oriented and experienced Medical Biller and Coder to join our Rheumatology practice. The ideal candidate will have a strong understanding of medical billing processes, coding guidelines, and insurance claim procedures, with a minimum of three years of hands-on experience in a medical office or specialty clinic setting. This is a full-time, onsite position.

• Accurately assign ICD-10, CPT, and HCPCS codes for rheumatology services
• Review clinical documentation to ensure proper coding and billing
• Submit and follow up on insurance claims and denials
• Identify areas of coding weakness and develop training plans to address them
• Work closely with Billing Manager and staff to resolve coding and billing discrepancies
• Maintain compliance with current billing regulations and payer requirements
• Review / Audits patient disputes surrounding inappropriate coding in a timely manner and assists with patient billing inquiries
• Prepare and submit clean insurance claims (electronic and paper) to Medicare, Medicaid, and commercial payers
• Review patient accounts and ensure accuracy of charges, modifiers, and claim details
• Stay current with payer requirements, billing guidelines, and industry changes

Requirements :

AAPC (CPC)

Experience