Medical Biller

CPa Medical Billing LLC; United States; À distance; USD 26 000 - 33 000; Plein temps

Résumé du poste

CPa Medical Billing LLC seeks a detail-oriented Medical Biller to scrub claims, correct denials, and ensure regulatory compliance. This role supports revenue cycle management and requires close collaboration with providers and billing staff.

The ideal candidate knows ICD-10, CPT, and HCPCS; has FQHC and Medicare follow-up experience; and can work Monday through Friday. Proficiency with NextGen, AR follow-up, and payment posting is highly valued, with US-based applicants preferred.

Qualifications

• Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
• FQHC experience required.
• Medicare follow up proficiency strongly preferred.
• Texas Medicaid experience is a plus.
• US-based; sponsorship not required.
• Availability Monday - Friday.
• NextGen, scrubbing, follow up AR, payment poster, and behavioral health knowledge.

Responsabilités

• Review and scrub medical claims for accuracy and completeness before submission.
• Correct coding denials by analyzing the reasons for denial and making necessary adjustments.
• Ensure compliance with all relevant coding guidelines and regulations.
• Collaborate with healthcare providers and billing staff to resolve coding issues and improve processes.
• Maintain up-to-date knowledge of coding updates, regulations, and best practices.
• Generate reports on coding denials and trends to assist in identifying areas for improvement.
• Provide training and support to staff on coding practices and procedures as needed.

Connaissances

ICD-10 knowledge

CPT knowledge

HCPCS coding

FQHC experience

Medicare follow-up

NextGen software

Follow-up AR

Payment posting

Attention to detail

Communication skills

Teamwork

Outils

Microsoft Office Suite

Description du poste

We are seeking a detail-oriented and experienced Medical Biller to join our team. The ideal candidate will be responsible for scrubbing claims and correcting coding denials to ensure accurate billing and compliance with healthcare regulations. This role is essential in maintaining the integrity of our coding processes and optimizing revenue cycle management.

Key Responsibilities:

• Review and scrub medical claims for accuracy and completeness before submission.
• Correct coding denials by analyzing the reasons for denial and making necessary adjustments.
• Ensure compliance with all relevant coding guidelines and regulations.
• Collaborate with healthcare providers and billing staff to resolve coding issues and improve processes.
• Maintain up-to-date knowledge of coding updates, regulations, and best practices.
• Generate reports on coding denials and trends to assist in identifying areas for improvement.
• Provide training and support to staff on coding practices and procedures as needed.

Requirements

• Candidate must be available to work Monday - Friday.
• Nextgen, scrubbing, follow up AR, payment poster, FQHC, and behavioral health knowledge.
• Texas Medicaid experience is a plus.
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
• FQHC experience required.
• Medicare follow up proficiency strongly preferred.
• Excellent attention to detail and analytical skills.
• Strong communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Proficient in Microsoft Office Suite and other relevant software applications.
• Candidates must be US based and will not require sponsorship

The pay range for this role is:

19.00 - 24.00 USD per hour (CPa Medical Billing, A GeBBS Healthcare Company)