Certified Medical Coder for Billing & Claims

Primary Health Solutions; Fully; Vor Ort; CHF 75.000 - 110.000; Vollzeit

Zusammenfassung

Primary Health Solutions is seeking a Billing and Coding Specialist to enter, audit, and code patient services, ensuring clean claims for submission to insurers. You will review documentation, apply modifiers, and interact with providers to resolve coding issues.

The role requires CPC certification, knowledge of ICD-10-CM, ICD-10-PCS, CPT and HCPCS, proficiency with billing software, and strong attention to detail in a fast-paced healthcare environment.

Qualifikationen

• Knowledge of Medical Terminology.
• Proficiency with computers and medical billing software.
• Ability to multitask and handle confidential information.
• Familiarity with ICD-10-CM, ICD-10-PCS, CPT and HCPCS.
• Strong communication with patients and providers.

Aufgaben

• Translate provider documentation into correct codes and append modifiers.
• Review incomplete encounters and code based on documentation in EHR.
• Use billing software to create and bill encounters for clean claims.
• Identify and resolve coding edits, rejections, and denials.
• Communicate with providers, patients, and payers.
• Conduct quarterly or ad hoc provider chart audits.

Kenntnisse

Medical Terminology

Multitasking

Customer Service

Communication

Attention to detail

Ausbildung

CPC certification

Tools

Medical Billing Software

Microsoft Office 365

Excel

Jobbeschreibung

Primary Health Solutions is seeking a Billing and Coding Specialist to enter, audit, and code patient services, ensuring clean claims for submission to insurers. You will review documentation, apply modifiers, and interact with providers to resolve coding issues.

The role requires CPC certification, knowledge of ICD-10-CM, ICD-10-PCS, CPT and HCPCS, proficiency with billing software, and strong attention to detail in a fast-paced healthcare environment.