Medical Biller and Certified Coder Colorado Springs Colorado Location
4 weeks ago
- Assign appropriate ICD-10, CPT, ARG, ASA, and other relevant codes to medical procedures and diagnoses for a maximum outcomes within Medical best practices.
- Verify patient insurance coverage and submit claims to insurance companies
- Follow up on unpaid or denied claims and resolve any billing discrepancies
- Maintain confidentiality of patient information and adhere to HIPAA regulations
- Collaborate with healthcare providers and other staff members to ensure accurate documentation and coding
- Stay updated on changes in medical coding guidelines and regulations
-Review and analyze medical records to ensure accurate coding and billing
- Proficient in medical billing software and electronic health record systems
- Strong knowledge of ICD-10 minimum 3 years
- Attention to detail and accuracy in coding and billing processes
- Excellent communication skills to interact with patients, insurance companies, and healthcare providers
- Ability to work independently and prioritize tasks effectively
- Knowledge of ICD-9 coding is a plus.
-Knowledge of Epic system EHR
- Coding Services: Properly code medical services, procedures, diagnoses, and treatments.
- Invoicing and Claims: Prepare and send invoices or claims to insurance companies for payment.
- Claim Corrections: Correct rejected claims to ensure smooth processing.
- Payment Tracking: Monitor payments and follow up on outstanding balances.
- Liaison: Act as a bridge between insurers, medical offices, and patients.
- Confidentiality: Handle sensitive information while adhering to HIPAA laws and other medical policies.
- Audits: Conduct audits to maintain accuracy and compliance.
- Maximizing Reimbursement: Strive to achieve maximum reimbursement for services provided.
- Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations
- Complying with medical coding guidelines and policies
- Receiving and reviewing patients’ charts and documents for verification and accuracy
- Following up and clarifying any information that is not clear to other staff members
- Collecting information made by the Physician from different sources to prepare monthly reports
- Implementing strategic procedures and choosing strategies and evaluation methods that provide correct outcomes
- Certified Medical Coder and Biller experience requirements
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