Demo

Homecare Billing and Coding Specialist

Alliance Home Care VNA
Woburn, MA Full Time
POSTED ON 1/27/2025
AVAILABLE BEFORE 3/27/2025

Overview
The Medical Billing and Coding Specialist plays a crucial role in the healthcare industry by ensuring accurate billing and coding of medical records. This position requires a detail-oriented individual who is knowledgeable in medical terminology, coding systems, and billing processes. The specialist will work closely with healthcare providers to ensure that all services rendered are properly documented and billed, facilitating smooth operations within the medical office. ***Must have home care billing and coding experience with various payors: including Medicare and Mass Health products***

Duties

  • Review and analyze patient medical records to ensure accurate coding of diagnoses and procedures using ICD-9 and ICD-10 systems.
  • Process medical billing claims, including submitting claims to insurance companies and following up on outstanding claims.
  • Maintain comprehensive knowledge of DRG (Diagnosis Related Group) systems to ensure proper reimbursement for services provided.
  • Communicate with patients regarding their accounts, including handling inquiries related to medical collections.
  • Collaborate with healthcare providers and office staff to resolve discrepancies in patient records or billing issues.
  • Stay updated on changes in medical billing regulations and coding practices to ensure compliance with industry standards.
  • Maintain organized medical records and documentation for audits and reviews.

Skills

  • Proficient in medical billing processes and procedures.
  • Strong understanding of DRG systems and their application in billing.
  • Familiarity with medical terminology relevant to coding practices.
  • Experience with coding using ICD-9 and ICD-10 classification systems.
  • Knowledge of medical records management within a healthcare setting.
  • Excellent attention to detail and organizational skills.
  • Strong communication skills for effective interaction with patients and healthcare providers.
  • Ability to work independently as well as collaboratively within a team environment.

This role is essential for the efficient operation of healthcare facilities, ensuring that all services are billed accurately while maintaining compliance with regulations.

Job Type: Full-time

Pay: $24.28 - $25.63 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Ability to Commute:

  • Woburn, MA 01801 (Required)

Ability to Relocate:

  • Woburn, MA 01801: Relocate before starting work (Required)

Work Location: In person

Salary : $24 - $26

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