Medical Biller & Coder - Radiology

Max AI

United States

On-site

USD 34,440 - 68,880

Full time

14 days+

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Benefits offered by this job

Dental insurance

Health insurance

Paid time off

Vision insurance

Job summary

A healthcare technology company in the United States is seeking a detail-oriented Medical Biller and Coder for its Radiology Department. The ideal candidate will manage billing processes, ensuring accuracy in coding and prompt payments from insurance companies. Responsibilities include processing claims, verifying insurance details, and maintaining billing records. Candidates should have strong knowledge in medical terminology and coding systems like ICD-10 and CPT. This full-time role offers a pay range of $25.00 - $50.00 per hour.

Qualifications

Proven experience in medical billing and coding.
Familiarity with inpatient and outpatient records management.
Knowledge of HIPAA compliance and fraud prevention.

Responsibilities

Process medical billing claims accurately.
Verify insurance coverage before submitting claims.
Maintain accurate records of billing transactions.

Skills

Medical terminology

ICD-10

Organizational skills

Communication skills

Education

Certification in medical billing or coding

Tools

Medical office software

Hospital EHRs

Job description

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Note: Please only apply to the specific job posting for which you have experience in the specialty. Duplicate applications will not be considered

Note: Please only apply to the specific job posting for which you have experience in the specialty. Duplicate applications will not be considered

Job Summary

We are seeking a detail-oriented and knowledgeable Medical Biller and Coder for Radiology Department to join our healthcare team. The ideal candidate will be responsible for managing the billing process, ensuring accuracy in medical coding, and facilitating timely payments from insurance companies and patients. This role requires expertise in both hospital (inpatient) and outpatient coding, as well as a strong understanding of medical terminology, billing, and revenue cycle management (including collections).

Responsibilities

Process medical billing claims accurately and efficiently using appropriate coding systems such as ICD-10 and ICD-9, CPT, and HCPCS for both inpatient hospital and outpatient clinic settings
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 and hospital EHRs to manage billing processes and maintain patient confidentiality
Prepare for and respond to payer or government audits related to radiology 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

Requirements

Proven experience in medical billing, coding, or a related field is preferred
Strong knowledge of medical terminology, DRG (Diagnosis Related Group), and various coding systems (ICD-10, ICD-9, CPT, HCPCS)
Familiarity with both hospital (inpatient) and outpatient 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, hospital EHRs, and billing systems
Certification in medical billing or coding is a plus but not required; advanced certifications or specialty credentials in radiology 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.

Requirements

Experience: