Medical Biller/Certified Coder

DaMar Staffing; Dover (DE); On-site; USD 32,000 - 48,000; Full time

Benefits offered by this job

Generous Paid Time Off and Holidays

Matching 401(k)/403(b) Plans

Excellent Health, Dental, and Vision

Disability and Life Insurance options

On Site Child Care

Educational Reimbursement

Health Care and Dependent Care FSA

Voluntary Benefits including Critical-

Job summary

Bayhealth Medical Center in Kent Campus (Dover area) seeks a skilled Medical Billing/Coding Specialist to manage the full cycle of medical claims from encounters to paid A/R. The role requires accurate DX/CPT-4 coding, auditing, and adherence to payer requirements.

Ideal candidates have 3+ years of professional coding experience and hold CPC or CCS credentials, with a High School Diploma or GED. This is a full-time, on-site position with competitive benefits in Delaware.

Qualifications

• Requires three (3) years of professional medical coding experience.
• Certification as CPC or CCS is required/preferred.
• Education: High School Diploma or GED.

Responsibilities

• Review and correct medical records to ensure accurate coding on submissions.
• Prepare encounters and code CPT-4/diagnosis codes for billing and submission to insurers.
• Correct errors and denials to maintain AR goals and timely reimbursement.
• Communicate with physicians regarding documentation to support coding.

Skills

Medical coding

Education

High School Diploma or GED Certificate Program

Certified Professional Coder (CPC)

Certified Coding Specialist (CCS)

Job description

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk?

Bayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand‑alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!

• Generous Paid Time Off and Paid Holidays
• Matching 401(k)/403(b) Plans
• Excellent Health, Dental, and Vision
• Disability and Life Insurance options
• On Site Child Care
• Educational Reimbursement
• Health Care and Dependent Care Flex Spending Accounts
• Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!

Location: Kent Campus Hospital

Status: Full Time 80 Hours

Shift: Days

SALARY RANGE: 23.32 - 34.97 HOURLY

General Summary

Position is responsible all aspects of the medical billing process from generating completed medical claims submissions to a completed and paid A/R. Receive encounters from EMR or other means of encounters information and prepare the encounter for submission. Abstract clinical information from a variety of medical records charts and documents and assigns appropriate DX and/or CPT-4 codes. Work with WQ or per supervisor instructions. Correct errors and denials from WQ or from other sources. Maintain AR processes to achieve organization's goals.

Responsibilities

• Review and analyze records to identify and correct errors.
• Prepare encounter and code correct medical billing claims generated from the EMR to bill insurance carriers or other parties.
• Submit the claims correctly from the first time.
• Determine the correct encounters code from patient records. Codes data from patient records. Manage detailed, specifically coded information. When needed, abstracts data from patients' medical records to maintain full diagnosis coding and charges capture.
• Interact with physicians and assistants to ensure accuracy. As needed, responds to physician inquiries that concern the proper documentation of diagnostic procedural information and questions regarding coding assignments.
• Track patient data over multiple visits.
• Maintain line of communication with your providers, auditing and providing training as needed.
• Identifies and verifies documentation and coding complacencies.
• Inform the responsible channels of all issues that create loss of reimbursement, constant errors and other issues pertaining to management issues.
• Maintain A/R goals and daily A/R functions. Responsible for any revenue cycle issues due to medical billing issues.
• Correct error and denials from designated WQ.
• Participate in department meetings. Participate in training sessions or webinars per supervisor request.
• All other duties as assigned, within the scope and range of job responsibilities.

Required Education, Credential(s) and Experience:

• Education: High School Diploma or GED Certificate Program
• Credential(s): Certified Professional Coder; Or Certified Coding Specialist (CCS).
• Experience: Required: Three (3) years' professional medical coding experience. Preferred: Three (3) years' experience with full medical coding functions.

Preferred Education, Credential(s) and Experience:

• Education:
• Credential(s):
• Experience: