Job Summary
Health Billing Outsourced is seeking a highly skilled and detail-oriented Medical Coder / Biller to join our dynamic team. The ideal candidate will play a crucial role in ensuring accurate coding, billing, and submission of medical claims to insurance providers. You will work closely with healthcare providers, insurance companies, and internal teams to streamline revenue cycle processes while maintaining compliance with healthcare regulations. This position is perfect for individuals who are meticulous, organized, and passionate about optimizing healthcare billing operations.
Key Responsibilities
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Accurately review and assign medical codes (ICD-10, CPT, HCPCS) for diagnoses, procedures, and services provided.
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Prepare and submit claims to insurance companies, ensuring accuracy and timely submission.
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Review and resolve claim denials or discrepancies with payers and healthcare providers.
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Maintain and update patient records, billing files, and electronic health records (EHRs) with accuracy.
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Ensure compliance with federal and state regulations, HIPAA guidelines, and internal policies.
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Collaborate with the finance, medical, and administrative teams to optimize billing workflows.
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Generate reports on billing performance, payment status, and revenue trends.
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Assist with audits and provide documentation as required by management or regulatory authorities.
Required Skills and Qualifications
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Certified Professional Coder (CPC) or equivalent certification preferred.
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Strong understanding of ICD-10, CPT, HCPCS coding systems.
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Knowledge of medical terminology, anatomy, and healthcare procedures.
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Proficient with electronic medical records (EMR/EHR) systems and billing software.
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Excellent attention to detail, analytical thinking, and problem-solving skills.
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Strong communication skills to interact effectively with healthcare providers and insurance companies.
Experience
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Minimum of 2 years of experience in medical coding and billing, preferably in a hospital, clinic, or outsourced billing environment.
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Prior experience with insurance claim submission and denial management is highly desirable.
Working Hours
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Full-time position, Monday to Friday.
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Flexible working hours may be available depending on workload and team requirements.
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Occasional overtime may be required to meet deadlines.
Knowledge, Skills, and Abilities
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Thorough knowledge of medical coding rules, insurance guidelines, and billing regulations.
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Ability to handle confidential patient information with integrity and discretion.
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Strong organizational skills and the ability to manage multiple tasks efficiently.
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Ability to work independently and as part of a collaborative team.
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Adaptability to changing processes and evolving healthcare regulations.
Benefits
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Competitive salary with performance-based incentives.
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Health, dental, and vision insurance coverage.
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Paid time off (PTO) and holidays.
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Opportunities for professional development and certification support.
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Supportive and inclusive work environment with career growth opportunities.
Why Join Health Billing Outsourced?
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Be part of a company dedicated to excellence in healthcare billing and patient care.
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Work with a diverse and professional team committed to innovation and accuracy.
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Gain exposure to a variety of medical coding and billing practices across multiple specialties.
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Access ongoing training and career advancement opportunities in the healthcare industry.
How to Apply
Interested candidates are invited to submit their resume and cover letter to us with the subject line “Medical Coder / Biller Application.”
Please include your certifications, relevant experience, and availability in your application. Only shortlisted candidates will be contacted for interviews.