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Medical Claims Specialist

1 month ago


Cleveland, Ohio, United States Wisen HR Full time
Job Title: Billing Specialist/Coder

At Wisen HR, we are seeking a highly skilled Billing Specialist/Coder to join our team. The successful candidate will be responsible for ensuring accurate and timely medical billing and coding of patient procedures and diagnoses.

Key Responsibilities:
  • Review and accurately code patient diagnoses and procedures using ICD-10 and CPT codes.
  • Prepare and submit claims to insurance companies and third-party payers.
  • Monitor and resolve billing discrepancies and denials.
  • Collaborate with healthcare providers to ensure correct coding and billing practices.
Requirements:
  • Certification as a medical coder (CPC, CCS, or equivalent).
  • Experience with ICD-10, CPT, and HCPCS coding systems.
  • Strong attention to detail and familiarity with medical billing software.
  • Ability to work independently and communicate effectively with healthcare teams.