Medical Biller/Certified Coder - 10710

DaMar Staffing; Dover (DE); On-site; USD 30,000 - 45,000; Full time

Job summary

DaMar Staffing is seeking a Medical Biller/Certified Coder for Kent Campus Hospital. This full-time, day-shift role handles all aspects of medical billing from claims submission to A/R management, utilizing EMR and PM systems.

Requirements include a High School Diploma or GED, CPC/CCS/RHIT/RHIA certification, and at least 2 years of medical billing experience in EMR/PM environments. Compensation is hourly with a supportive team and growth opportunities.

Qualifications

• Must have a High School Diploma or GED.
• Certified Professional Coder (CPC) or CCS/RHIT/RHIA certification.
• 2 years’ experience in medical billing in EMR/PM environments from billing to A/R.

Responsibilities

• Review records to identify and correct errors.
• Prepare encounters and code medical billing claims from EMR for insurance submission.
• Submit claims correctly on first submission.
• Determine correct encounters codes from patient records and document charges.
• Communicate with physicians to ensure accurate documentation and coding.
• Track patient data over multiple visits.
• Maintain communication with providers and training as needed.
• Identify documentation/coding issues impacting reimbursement.
• Maintain A/R goals and daily A/R functions.
• Correct errors and denials from designated systems.
• Participate in department meetings and training sessions.
• Perform other duties within scope of responsibilities.

Skills

Medical billing experience

EMR/PM familiarity

Coding knowledge

Education

High School Diploma or GED

CPC/CCS/RHIT/RHIA certification

Tools

EMR systems

PM software

Job description

Medical Biller/Certified Coder

Location: Kent Campus Hospital

Status: Full Time 80 Hours

Shift: Days

SALARY RANGE: 22.09 - 33.47HOURLY

General Summary:

Position is responsible for 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:

1. Review and analyze records to identify and correct errors.

2. Prepare encounter and code correct medical billing claims generated from the EMR to bill insurance carriers or other parties.

3. Submit the claims correctly from the first time.

4. 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.

5. 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.

6. Track patient data over multiple visits.

7. Maintain line of communication with your providers, auditing and providing training as needed.

8. Identifies and verifies documentation and coding complacencies.

9. Inform the responsible channels of all issues that create loss of reimbursement, constant errors and other issues pertaining to management issues.

10. Maintain A/R goals and daily A/R functions. Responsible for any revenue cycle issues due to medical billing issues.

11. Correct error and denials from designated WQ.

12. Participate in department meetings. Participate in training sessions or webinars per supervisor request.

13. 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
• Credential(s): Certified Professional Coder; Or equivalent (Certified Coding Specialist certification, Registered Health Information Technician, or Registered Health Information Administrator)
• Experience: Required: 2 years' experience in medical billing at EMR and PM environment from billing to A/R

Preferred Education, Credential(s) and Experience:

• Education:
• Credential(s):
• Experience: Preferred: 3-6 years' experience with full medical billing functions