What are the responsibilities and job description for the Medical Biller/Coder position at DIAGNOSTIC AND INTERVENTIONAL?
Summary
The Medical Biller/Coder possesses a valid medical coding certification (CPC) and has solid experience in accurately coding surgery related patient services. The Medical Biller/Coder will perform billing, coding, and collections tasks.
Essential Duties and Responsibilities
- Review provider documentation for coding appropriateness and accuracy. Codes patient services, enters appropriate CPT codes, and gathers modifiers from supporting documentation.
- Examine information about patient treatment, diagnosis, and procedures to ensure proper coding guidelines are met.
- Follow up on claim status to confirm whether accepted or denied at clearing house level.
- Researches and corrects all rejections at the clearing house level.
- Monitor and advise on how to optimize billing, coding, and collection procedures to improve the efficiency of the billing and collection processes.
- Analyze trends impacting charges, coding, collection, and accounts receivable and advise or take appropriate action to optimize processes and procedures.
- Performs other duties as directed or assigned.
Qualifications
- Certified Professional Coder (CPC or CPC-A) is required
- Minimum 3-5 years medical coding experience – surgery coding knowledge required
- Advanced knowledge of medical terminology, billing processes, and matching insurance documentation to support the coding process
- Ability to effectively understand, follow, and communicate oral and written instructions in English. Must read, write, and speak English fluently to ensure clear work-related communication and patient safety.
- Exceptional analytical and problem-solving skills
- Complete understanding of and working experience using various medical billing software and systems