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Medical Claims Specialist

4 weeks ago


Cleveland, Ohio, United States Wisen HR Full time
Job OverviewWisen HR is seeking a 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. This role involves reviewing medical records, coding healthcare services, and working with insurance companies to ensure proper reimbursement.

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.