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Dermatology Coding and Billing Specialist

3 months ago

Spring Hill, United States Bay Dermatology and Cosmetic Full time
Job DescriptionJob DescriptionDescription:

Full Job Description:

The Dermatology Coding and Billing Specialist is responsible for accurately coding dermatology procedures and services, submitting insurance claims, and managing the billing process for a dermatology practice or healthcare facility. They ensure compliance with healthcare regulations and maximize revenue by optimizing reimbursement.

Requirements:

Key Responsibilities:

  1. Medical Coding:
    • Assign appropriate CPT (Current Procedural Terminology) and ICD-10 (International Classification of Diseases) codes to dermatology services, procedures, and diagnoses.
    • Stay up-to-date with coding changes and guidelines related to dermatology.
  2. Billing:
    • Prepare and submit insurance claims accurately and in a timely manner.
    • Verify patient insurance coverage and eligibility for dermatology services.
    • Follow up on unpaid claims and denials, resubmitting claims if necessary.
    • Review and address coding-related denials and discrepancies.
  3. Compliance:
    • Ensure compliance with federal and state healthcare regulations, including HIPAA (Health Insurance Portability and Accountability Act).
    • Stay informed about changes in billing and coding regulations specific to dermatology.
  4. Documentation:
    • Collaborate with healthcare providers to improve documentation accuracy for coding purposes.
    • Maintain organized records of coding and billing transactions.
  5. Patient Inquiries:
    • Respond to patient inquiries related to billing, insurance, and claims.
    • Assist patients in understanding their bills and insurance coverage.
  6. Revenue Optimization:
    • Identify opportunities to optimize revenue through accurate coding and billing practices.
    • Assist in developing strategies to increase reimbursement rates and reduce claim denials.
  7. Training and Education:
    • Keep staff and providers updated on coding and billing changes and best practices.
    • Conduct training sessions as needed to improve coding accuracy.
  8. Software and Technology:
    • Utilize medical billing and coding software effectively.
    • Stay current with software updates and enhancements.

Qualifications:

  • A high school diploma or equivalent (some employers may require a degree or certification in medical coding or billing).
  • Certified Professional Coder (CPC) or Certified Dermatology Coder (CDC) certification is highly desirable.
  • Strong knowledge of CPT and ICD-10 coding systems.
  • Familiarity with medical billing software and electronic health records (EHR) systems.
  • Excellent attention to detail and analytical skills.
  • Knowledge of healthcare regulations, especially those related to dermatology.
  • Strong communication and interpersonal skills.
  • Ability to work independently and as part of a healthcare team.

A Dermatology Coding and Billing Specialist is a critical member of the healthcare revenue cycle management team, ensuring accurate reimbursement and financial stability for dermatology practices while maintaining compliance with healthcare regulations.


This is a full-time position. We offer a full benefits package including healthcare insurance, vacation, and 401K. Salary will be commensurate with experience and extremely competitive. Interested candidates should reply with a resume and cover letter.


Benefits:

  • 401(k)
  • Dental insurance
  • Employee discount
  • Health insurance
  • Paid time off
  • Retirement plan


Application Process: Please email resume to dsultan@baydermatology.com