Max AI
Stripe for Healthcare
Medical Biller & Coder – Radiology
Location
Michigan
Posted
17 days ago
Salary
$25 - $50 / hour
Professional Certificate4 yrs expEnglish
Job Description
• Process medical billing claims accurately and efficiently using appropriate coding systems such as ICD-10 and ICD-9, CPT, and HCPCS for both inpatient hospital and outpatient clinic settings.
• Review patient records to ensure all necessary information is included for billing purposes.
• Verify insurance coverage and benefits prior to submitting claims to ensure proper reimbursement.
• Follow up on unpaid claims and conduct medical collections as necessary.
• Maintain accurate records of all billing transactions and communications with insurance companies and patients.
• Collaborate with healthcare providers to resolve any discrepancies in billing or coding.
• Stay updated on changes in medical billing regulations, coding practices, and insurance policies.
• Utilize medical office systems and hospital EHRs to manage billing processes and maintain patient confidentiality.
• Prepare for and respond to payer or government audits related to radiology services.
• Track and analyze key performance indicators (KPIs) such as denial rates and days in accounts receivable.
• Support contract negotiations as necessary and manage appeals and denials.
Job Requirements
- Proven experience in medical billing and coding, or a related field is preferred.
- Strong knowledge of medical terminology, DRG (Diagnosis Related Group), and various coding systems (ICD-10, ICD-9, CPT, HCPCS).
- Familiarity with both hospital (inpatient) and outpatient records management and the healthcare reimbursement process.
- Excellent attention to detail with strong organizational skills.
- Ability to communicate effectively with healthcare professionals, insurance representatives, and patients.
- Proficient in using medical office software, hospital EHRs, and billing systems.
- Certification in medical billing or coding is a plus but not required; advanced certifications or specialty credentials in radiology coding are highly desirable.
- Knowledge of HIPAA compliance, fraud prevention, and audit readiness.
Benefits
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
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