Responsibilities

Review and analyze medical records to verify appropriate ICD-10 diagnosis codes, CPT procedure codes, and modifiers.
Ensure all billing information complies with current healthcare regulations and payer requirements
Submit accurate claims electronically through Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems
Follow up on unpaid or rejected claims to facilitate timely collections and resolve discrepancies in medical billing and collections processes
Maintain detailed documentation of coding decisions, medical records, and billing activities for audit readiness
Collaborate with healthcare providers to clarify documentation and improve coding accuracy
Stay updated on changes in medical coding standards, regulations, and insurance policies to ensure ongoing compliance

Qualifications

Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Biller (CPB) or equivalent certification required
Proven experience in medical coding and billing within a healthcare setting
Strong knowledge of ICD-10, CPT coding systems
Familiarity with medical terminology, medical records management, and EHR/EMR systems
Understanding of medical office workflows, insurance claim processes, and medical collections
Excellent attention to detail with the ability to interpret complex clinical documentation accurately
Effective communication skills for collaborating with healthcare teams and insurance companies

Dental Insurance

Medical Insurance - reimbursement

401(k)

Paid Time Off

Looking for a candidate who is located in Wisconsin.

MJP Healthcare Consulting LLC remote jobs

Certified Medical Coder/Professional Biller