Overview
Medical Biller- MUST HAVE CODING EXPERIENCE Jobs in Kissimmee, FL at Celebration Orthopaedic & Sports Medicine Institute
This requires translating patient records into codes using systems like ICD-10-CM, CPT, and HCPCS; reviewing claims for accuracy; and following up on denied claims and unpaid bills. The role is primarily an office-based, computer-heavy position that requires strong knowledge of medical terminology and insurance processes. Key responsibilities
- Coding: Review patient records and clinical notes to accurately assign alphanumeric codes for diagnoses, procedures, and services using systems like ICD-10-CM, CPT, and HCPCS.
- Billing: Create and submit claims to insurance companies and patients for payment, including sending out invoices for any remaining balances.
- Payment processing: Post payments from insurance companies and patients to the correct accounts, and manage payment plans for patients with outstanding balances.
- Claim resolution: Investigate and resolve issues with denied insurance claims by correcting codes and resubmitting claims.
- Communication: Work with healthcare providers to clarify patient information for accurate coding, and communicate with insurance companies and patients to resolve billing questions and inquiries.
- Reporting: Generate reports on billing and coding performance and provide updates on trends or issues to management.
Required skills and qualifications
- Coding knowledge: Familiarity with medical coding systems (ICD, CPT, HCPCS) and medical terminology.
- Technical skills: Proficiency with electronic health record (EHR) systems, medical billing software, and other computer programs.
- Attention to detail: Ability to spot inconsistencies in medical records and ensure accuracy in coding and billing.
- Analytical and problem-solving skills: Use critical thinking to find errors, understand claims, and navigate complex data.
- Communication skills: Effectively communicate with patients, providers, and insurance agents.
- Knowledge of regulations: Understanding of healthcare compliance and regulations, such as HIPAA.
- Other skills: Strong organizational skills, data analysis, and basic math skills are also valuable.
- Certification: While not always required, a certification like Certified Professional Coder (CPC) from the AAPC can make a candidate more competitive.
Job Type: Full-time
Pay: $20.00 – $24.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Work Location: In person
Title: Medical Biller- MUST HAVE CODING EXPERIENCE
Company: Celebration Orthopaedic & Sports Medicine Institute
Location: Kissimmee, FL