Billing and coding specialist

Dream an Blessing Consulting LLC

Billing and coding specialist

Columbus, OH
Full Time
Paid
  • Responsibilities

    Job Description: Billing and Coding Specialist

    We are seeking a highly skilled and detail-oriented Billing and Coding Specialist to join our healthcare facility. The ideal candidate will have a strong background in medical billing and coding procedures and possess excellent organizational and communication skills. As a Billing and Coding Specialist, you will be responsible for ensuring accurate and timely billing processes, maximizing revenue, and minimizing discrepancies.

    Responsibilities:
    - Review and analyze medical records to assign appropriate codes using current coding guidelines (ICD-10, CPT, HCPCS).
    - Ensure proper documentation is obtained from healthcare providers or physicians for accurate coding and billing purposes.
    - Accurately enter coded data into the billing system and verify the validity of charges.
    - Perform audits and quality assurance checks on billing and coding processes to ensure compliance with industry regulations, guidelines, and payer requirements.
    - Communicate with healthcare providers, insurance companies, and patients to resolve coding and billing issues and ensure proper reimbursement.
    - Collaborate with other departments, such as medical records, finance, and clinical staff, to optimize billing and coding processes.
    - Stay updated on changes in coding and billing regulations and guidelines and ensure compliance.
    - Identify and correct coding errors and discrepancies to minimize claim denials and revenue loss.
    - Maintain up-to-date knowledge of billing and coding software systems to efficiently carry out job responsibilities.
    - Prepare and submit billing claims to insurance companies or government healthcare programs.

    Requirements:
    - High school diploma or equivalent, or a degree/certification in medical billing and coding.
    - Proven work experience as a Billing and Coding Specialist in a healthcare organization.
    - In-depth knowledge of ICD-10, CPT, and HCPCS coding systems and guidelines.
    - Familiarity with medical terminology, procedures, and services to accurately assign appropriate codes.
    - Proficient in using medical billing software and electronic health record systems.
    - Excellent attention to detail and ability to maintain accuracy in a fast-paced environment.
    - Strong analytical and problem-solving skills to identify and resolve coding-related issues.
    - Effective written and verbal communication skills for interacting with providers, insurance companies, and patients.
    - Strong organizational and time management skills to meet deadlines and handle multiple tasks simultaneously.
    - Ability to work independently and in a team, with strong interpersonal skills.
    - Familiarity with healthcare compliance and privacy regulations, such as HIPAA.

    If you have a passion for accurate coding, billing integrity, and optimizing revenue cycles, we invite you to apply for this position. Your contribution as a Billing and Coding Specialist will be crucial in ensuring the financial success of our healthcare facility and providing quality patient care.