Medical Billing and Coding Specialist

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Job details

Medical Billing and Coding Specialist - Strong benefits and expansive growth opportunities!

This Jobot Job is hosted by Lauren Jessup

Are you a fit? Easy Apply now by clicking the "Easy Apply" button and sending us your resume.

Salary $50,000 - $60,000 per year

A Bit About Us

We are the premier neurosurgery practice in the area for the treatment of complex brain and spine conditions.



Why join us?


Learn and grow with the best!

• Comprehensive medical benefits
• 401k
• Retirement plan
• PTO
  
  

Job Details

Position Summary

We are seeking a skilled and experienced Medical Billing and Coding Specialist to join our facility's billing department. This role requires a strong background in healthcare billing and coding, particularly within surgical services. The ideal candidate will have at least 3 years of hands-on experience, with a preference for those bringing 5 years or more in the field. This individual will be responsible for ensuring accurate coding, timely claims submissions, and efficient resolution of billing issues for neurosurgical procedures.

Responsibilities

• Accurately code and bill for neurosurgical services, ensuring compliance with all relevant payer requirements and healthcare regulations.
• Review patient charts and surgical documentation to assign appropriate ICD-10, CPT, and HCPCS codes for diagnoses, procedures, and treatments.
• Submit insurance claims in a timely manner, ensuring accuracy and compliance with payer guidelines.
• Follow up on unpaid or denied claims, utilizing appropriate methods to resolve discrepancies and ensure optimal reimbursement.
• Collaborate with the revenue cycle team to ensure efficient collections and accurate payment posting.
• Communicate effectively with insurance companies, patients, and clinical staff to resolve billing and coding issues.
• Stay up to date with changes in coding standards, payer-specific policies, and relevant healthcare regulations, including the No Surprise Act.
• Work closely with the clinical and administrative teams to resolve any discrepancies between documentation and coding.
• Monitor and manage the status of outstanding claims and patient accounts, ensuring timely resolution.
• Participate in audits and quality control processes to ensure compliance with industry standards and payer requirements.
• Assist with training and mentoring junior billing staff as needed.
  
  

Qualifications

• Minimum of 3 years of experience in medical billing and coding, with a preference for candidates with 5 years of experience.
• Strong expertise in neurosurgical procedures, coding, and insurance claim requirements.
• Proficiency in ICD-10, CPT, and HCPCS coding systems.
• Experience with insurance verification, claim submission, and follow-up processes.
• In-depth knowledge of insurance payer policies, including out-of-network reimbursement practices.
• Ability to analyze, resolve, and follow up on denied or rejected claims to ensure prompt payment.
• Familiarity with Electronic Health Record (EHR) systems, preferably EClinicalWorks (ECW).
• Excellent attention to detail and organizational skills.
• Strong communication and interpersonal skills for effective collaboration with clinical teams, patients, and insurance providers.
• Knowledge of healthcare regulations, including the No Surprise Act, is highly preferred.
• Medical billing and coding certification (e.g., CPC, CCS) is preferred but not required.
  
  

Benefits We offer a competitive salary, a comprehensive benefits package, and opportunities for professional growth within a dynamic and expanding neurosurgical practice.

Interested in hearing more? Easy Apply now by clicking the "Easy Apply" button.

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Click our Jobot logo and follow our LinkedIn page!