Medical Coding and Billing Specialist

Comprehensive Orthopaedics; Yalesville (CT); Sur place; USD 42 000 - 65 000; Plein temps

Résumé du poste

Comprehensive Orthopaedics in Wallingford, CT seeks a Coding and Billing Analyst to translate patient data into HCPCS/ICD-10 codes while maintaining HIPAA and OSHA standards. You will input codes into charts, verify records, and support billing workflows.

The role requires knowledge of medical coding systems, experience with EMR software, and the ability to communicate with staff and insurers to resolve billing issues. This is an on-site position in our Wallingford office.

Qualifications

• High school diploma or equivalent required; CPC license preferred.
• In-depth knowledge of HCPCS and ICD-10 coding systems.
• Familiarity with insurance billing rules and guidelines.

Responsabilités

• Code procedures accurately and input them into patient charts.
• Ensure compliance with medical coding guidelines and policies.
• Verify and code diagnoses, evaluations, and procedures for record completeness and accuracy.
• Perform edit checks on entered data and correct errors before transmittal.
• Communicate effectively with clinical staff, patients, and insurance companies regarding billing inquiries and payment arrangements.
• Submit claims to insurance carriers and follow up on claim status, resubmitting if necessary.
• Handle patient information with confidentiality, managing account payments and contributing to departmental efficiency through creative problem-solving.

Connaissances

Medical coding knowledge

Attention to detail

Communication skills

HIPAA compliance

Formation

High school diploma or equivalent

CPC certification or CPC course enrollment

Outils

Medical billing software

EMR systems

Description du poste

The Coding and Billing Analyst plays a pivotal role in our practice by accurately translating patient information into alphanumeric medical codes for inclusion in the patient's records. Ensuring compliance with HIPAA/OSHA standards, the employee utilizes expertise in coding systems such as HCPCS and ICD-10 to code procedures, maintain medical coding guidelines, and verify the completeness and accuracy of records. The location for this position is in our Wallingford office Monday-Friday.

Responsibilities:

• Code procedures accurately and input them into patient charts
• Ensure compliance with medical coding guidelines and policies
• Verify and code diagnoses, evaluations, and procedures for record completeness and accuracy
• Perform edit checks on entered data and correct errors before transmittal
• Communicate effectively with clinical staff, patients, and insurance companies regarding billing inquiries and payment arrangements
• Submit claims to insurance carriers and follow up on claim status, resubmitting if necessary
• Handle patient information with confidentiality, managing account payments and contributing to departmental efficient through creative problem-solving.

Qualifications:

• High school diploma or equivalent required; possession of a Certified Professional Coding license or active enrollment in a CPC course is preferred.
• In-depth knowledge of various coding systems including HCPCS and ICD-10.
• Familiarity with insurance-specific coding and billing rules and guidelines.
• Proficient in using medical billing software and electronic medical record (EMR) systems.
• Ability to handle complex or unusual coding cases and perform edit checks on entered data.