Medical Coding and Billing Specialist

ADP, Inc.

Tyrone (GA)

On-site

USD 26,000 - 30,000

Full time

6 days ago
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Job summary

ADP, Inc. is seeking a Medical Coding and Billing Specialist in Tyrone, GA. The role requires medical billing and coding experience in a primary care setting, knowledge of CPT-II and ICD-10, and familiarity with Athenahealth.

Strong communication and attention to detail are essential for accurate reimbursement. Responsibilities include submitting claims, maintaining patient data accuracy, AR collaboration, and conducting coding audits to ensure data quality.

Qualifications

  • Medical Billing and Coding experience in a Primary Care setting.
  • Knowledge of CPT-II and ICD-10 coding.
  • Experience with Athenahealth.
  • Strong communication and interpersonal skills.
  • Detail-oriented.

Responsibilities

  • Prepare and submit billing data and medical claims to insurance companies.
  • Ensure the patient’s medical information is accurate and up to date.
  • Prepare bills and invoices, and documents amounts due for medical service.
  • Work closely with office management on Accounts Receivable goals.
  • Monitor and record late or held payments.
  • Follow up on missed payments; resolve financial discrepancies.
  • Examine patient bills for accuracy and request any missing information.
  • Analyze medical record documentation to determine principal diagnosis and procedures.
  • Assign ICD9 and CPT2 codes to diagnoses and procedures according to guidelines.
  • Assure accurate, optimal coding assignment for reimbursement.
  • Monitor the accuracy and consistency of coded data by conducting internal coding audits.
  • Identify and define coding issues and propose solutions.
  • Provide technical expertise to staff to resolve coding and chart documentation problems.

Skills

Medical Billing & Coding
CPT-II & ICD-10 coding
Athenahealth experience
Strong communication
Detail orientation

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Medical Coding and Billing Specialist

30+ days ago Requisition ID: 1010

$19.00 To $22.00 Hourly

Qualifications:

Medical Billing and Coding Experience in a Primary Care setting

Knowledge of CPT-II and ICD-10 coding

Experience with Athenahealth

Strong communication and interpersonal skills

Detail-oriented

Key Responsibilities:

  • Prepare and submit billing data and medical claims to insurance companies.
  • Ensure the patient’s medical information is accurate and up to date.
  • Prepare bills and invoices, and documents amounts due for medical service.
  • Work closely with office management on Accounts Receivable goals.
  • Monitor and record late or held payments.
  • Follow up on missed payments; resolve financial discrepancies.
  • Examine patient bills for accuracy and request any missing information.
  • Analyzes medical record documentation to determine the principal diagnosis and procedures and the presence of co-morbid or complicating conditions associated with the primary care visit.
  • Assigns ICD9 and CPT2 codes to diagnoses and procedures according to established guidelines.
  • Assure accurate, optimal coding assignment for reimbursement.
  • Monitor the accuracy and consistency of coded clinical data by conducting ongoing internal coding audits of data, medical records, and computerized databases.
  • Identify and defines coding issues and proposes solutions.
  • Provide technical expertise to clinical and non-clinical staff to identify and resolve coding and medical record/chart documentation problems impacting the accuracy and consistency of coded data in the clinical database.
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