Medical Biller and Certified Coder Colorado Springs Colorado Location

Job Posted 1/21/2025

Sunrise Health Care, PC

Colorado Springs, CO

United States

Category Other

Job Description

Job DescriptionJob Description-Review and analyze medical records to ensure accurate coding and billing
- Assign appropriate ICD-10, CPT, ARG, ASA, and other relevant codes to medical procedures and diagnoses for a maximum outcomes within Medical best practices.
- Verify patient insurance coverage and submit claims to insurance companies
- Follow up on unpaid or denied claims and resolve any billing discrepancies
- Maintain confidentiality of patient information and adhere to HIPAA regulations
- Collaborate with healthcare providers and other staff members to ensure accurate documentation and coding
- Stay updated on changes in medical coding guidelines and regulations
-Review and analyze medical records to ensure accurate coding and billing
- Proficient in medical billing software and electronic health record systems
- Strong knowledge of ICD-10 minimum 3 years
- Attention to detail and accuracy in coding and billing processes
- Excellent communication skills to interact with patients, insurance companies, and healthcare providers
- Ability to work independently and prioritize tasks effectively
- Knowledge of ICD-9 coding is a plus.
-Knowledge of Epic system EHR

Coding Services: Properly code medical services, procedures, diagnoses, and treatments.
Invoicing and Claims: Prepare and send invoices or claims to insurance companies for payment.
Claim Corrections: Correct rejected claims to ensure smooth processing.
Payment Tracking: Monitor payments and follow up on outstanding balances.
Liaison: Act as a bridge between insurers, medical offices, and patients.
Confidentiality: Handle sensitive information while adhering to HIPAA laws and other medical policies.
Audits: Conduct audits to maintain accuracy and compliance.
Maximizing Reimbursement: Strive to achieve maximum reimbursement for services provided.
Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations
Complying with medical coding guidelines and policies
Receiving and reviewing patients’ charts and documents for verification and accuracy
Following up and clarifying any information that is not clear to other staff members
Collecting information made by the Physician from different sources to prepare monthly reports
Implementing strategic procedures and choosing strategies and evaluation methods that provide correct outcomes
Certified Medical Coder and Biller experience requirements