Medical Biller & Coder - Podiatry

Max AI, Inc.; United States; Remote; USD 34,000 - 69,000; Full time

Job summary

Max AI, Inc. seeks a detail-oriented Medical Biller and Coder for the Podiatry Department to manage billing, ensure accurate coding (ICD-10/9, CPT, HCPCS), and facilitate timely payments from insurers and patients.

The ideal candidate will bring podiatry terminology knowledge, experience with EHR and billing systems, HIPAA compliance, and strong communication with providers, payers, and patients. This full-time/contract role requires staying current with coding changes and performing audits to

Qualifications

• Experience in medical billing or coding, preferably in podiatry or surgical specialties.
• Strong knowledge of podiatry terminology and coding systems (ICD-10, ICD-9, CPT, HCPCS).
• Familiar with medical records management and reimbursement processes.
• Attention to detail with excellent organizational skills.
• Effective communication with healthcare professionals, insurers, and patients.
• Proficiency with EHRs and billing software; HIPAA compliance experience.

Responsibilities

• Process medical billing claims accurately using ICD-10/ICD-9, CPT, HCPCS for podiatry.
• Review records to ensure complete billing information.
• Verify insurance coverage before submission for proper reimbursement.
• Follow up on unpaid claims and perform medical collections as needed.
• Maintain records of billing transactions and communications.
• Collaborate with providers to resolve billing or coding discrepancies.
• Stay updated on billing regulations and insurance policies.
• Utilize office systems to manage billing and protect patient confidentiality.
• Prepare for payer/government audits related to podiatry services.
• Track KPIs like denial rates and days in accounts receivable.
• Support contract negotiations and manage denials/appeals for podiatry.

Skills

Medical billing

Medical coding

Podiatry terminology

EHR systems

Insurance coordination

HIPAA compliance

Communication with payers

Education

Medical billing/coding certification

Tools

Billing software

EHR software

Job description

Job Summary
We are seeking a detail-oriented and knowledgeable Medical Biller and Coder for Podiatry Department to join our healthcare team. The ideal candidate will be responsible for managing the billing process, ensure accuracy in medical coding, and facilitating timely payments from insurance companies and patients. A strong understanding of podiatry-specific medical terminology, coding systems, and collections is essential for success in this role.

Responsibilities

• Process medical billing claims accurately and efficiently using appropriate coding systems such as ICD-10 and ICD-9, CPT, and HCPCS specific to podiatric procedures.
• Review patient records to ensure all necessary information is included for billing purposes.
• Verify insurance coverage and benefits prior to submitting claims to ensure proper reimbursement.
• Follow up on unpaid claims and conduct medical collections as necessary.
• Maintain accurate records of all billing transactions and communications with insurance companies and patients.
• Collaborate with healthcare providers to resolve any discrepancies in billing or coding.
• Stay updated on changes in medical billing regulations, coding practices, and insurance policies.
• Utilize medical office systems effectively to manage billing processes and maintain patient confidentiality.
• Prepare for and respond to payer or government audits related to podiatry services.
• Track and analyze key performance indicators (KPIs) such as denial rates and days in accounts receivable.
• Support contract negotiations as necessary and manage appeals and denials specific to podiatry coverage.

Requirements

• Proven experience in medical billing, coding, or a related field, preferably in podiatry or a surgical specialty.
• Strong knowledge of podiatry-related medical terminology, DRG (Diagnosis Related Group), and various coding systems (ICD-10, ICD-9, CPT, HCPCS).
• Familiarity with medical records management and the healthcare reimbursement process.
• Excellent attention to detail with strong organizational skills.
• Ability to communicate effectively with healthcare professionals, insurance representatives, and patients.
• Proficient in using medical office software, EHRs, and billing systems.
• Certification in medical billing or coding is a plus but not required; advanced certifications or specialty credentials in podiatry coding are highly desirable.
• Knowledge of HIPAA compliance, fraud prevention, and audit readiness.

Join our dedicated team where your expertise will contribute to the efficient operation of our healthcare services while ensuring patients receive the care they deserve through accurate billing practices.

Job Types: Full-time, Contract

Pay: $25.00 - $50.00 per hour

Please Note: This position may require a two-week trial period at our standard trial rate.

Experience:

• ICD-10: 1 year (Required)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance