Certified Medical Coder/Professional Biller
Location
Wisconsin
Posted
23 days ago
Salary
Not specified
Seniority
Mid Level
Job Description
Responsibilities
- Review and analyze medical records to verify appropriate ICD-10 diagnosis codes, CPT procedure codes, and modifiers.
- Ensure all billing information complies with current healthcare regulations and payer requirements
- Submit accurate claims electronically through Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems
- Follow up on unpaid or rejected claims to facilitate timely collections and resolve discrepancies in medical billing and collections processes
- Maintain detailed documentation of coding decisions, medical records, and billing activities for audit readiness
- Collaborate with healthcare providers to clarify documentation and improve coding accuracy
- Stay updated on changes in medical coding standards, regulations, and insurance policies to ensure ongoing compliance
Job Requirements
- Qualifications
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Biller (CPB) or equivalent certification required
- Proven experience in medical coding and billing within a healthcare setting
- Strong knowledge of ICD-10, CPT coding systems
- Familiarity with medical terminology, medical records management, and EHR/EMR systems
- Understanding of medical office workflows, insurance claim processes, and medical collections
- Excellent attention to detail with the ability to interpret complex clinical documentation accurately
- Effective communication skills for collaborating with healthcare teams and insurance companies
Benefits
- Dental Insurance
- Medical Insurance - reimbursement
- 401(k)
- Paid Time Off
- Looking for a candidate who is located in Wisconsin.
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