Dental and Medical Coding Professional

1 week ago


Chapel Hill, North Carolina, United States SDI International Corp Full time

As a Dental and Medical Coding Professional at SDI International Corp, you will be responsible for reviewing treatment notes, filing insurance claims, and managing accounts receivable. This role requires strong knowledge of medical and dental insurance policies, contracts, and billing standards.

Key Responsibilities:
  • Claims Processing:
    • Review treatment notes for accuracy in coding and diagnosis.
    • File medical and dental insurance claims for privately insured patients.
    • Maintain accurate submission of supporting clinical documentation.
  • Appeals and Resolutions:
    • Investigate and appeal denied claims, following up to resolution.
  • Accounts Receivable Management:
    • Maintain an in-depth understanding of medical and dental insurance industry standards, billing practices, and reimbursement processes.
    • Audit patient records regularly to ensure billing, coding, and clinical documentation accuracy.
    • Scan and manage critical insurance documentation in electronic patient records.
  • Customer Support:
    • Answer inquiries regarding medical and dental insurance benefits, claim status, and account summaries.
Requirements:
  • Specialized knowledge of medical coding, dental and medical insurance policies, contracts, and billing standards.
  • Proficiency in medical and dental terminology, procedural and diagnostic coding, and medical-dental cross-coding.
  • Experience with electronic claims processing and insurance vendor protocols.
  • Strong understanding of accounts receivable management principles.
  • HIPAA Compliance: Knowledge of and adherence to HIPAA regulations is required.
Compensation:

Our salary range for this position is $65,000 - $85,000 per year, based on experience.



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