In Office - Certified Medical Biller & Coder
Job Description
Job DescriptionBenefits:
- 401(k) matching
- Employee discounts
- Paid time off
FIMA is seeking an experienced and certified Medical Biller and Coder to join our growing private practice. The ideal candidate is a highly detail-oriented and motivated professional with a strong understanding of the full revenue cycle, from accurate coding to payment posting and denial management. This is a critical role for our office, ensuring financial health and compliance.
Key responsibilities
- Coding: Accurately review and assign appropriate CPT, ICD-10, and HCPCS codes for diagnoses, procedures, and services based on physician documentation.
- Payment Processing: Process and post payments from insurance carriers and patients, ensuring proper reconciliation.
- Accounts Receivable: Actively work denials, track outstanding claims, and follow up with insurance carriers to resolve unpaid accounts in a timely manner.
- Compliance: Maintain current knowledge of Medicare and other insurance carrier regulations, staying up-to-date with compliance issues and coding changes.
- Credentialing: Assist with provider credentialing and re-credentialing processes with various insurance companies.
- Insurance Verification: Verify patient insurance eligibility and benefits prior to services.
- Patient Inquiries: Handle patient billing inquiries with professionalism and tact, explaining charges and payment options.
- Record Keeping: Maintain accurate and confidential patient billing records in compliance with HIPAA.
Qualifications
- Certification: Hold a current, nationally recognized coding certification (e.g., CPC, CCS-P) from the AAPC or AHIMA.
- Experience: Proven experience in medical billing and coding within a private practice or outpatient setting.
- Compliance: In-depth knowledge of Medicare guidelines and other federal/state healthcare compliance regulations.
- Technical Skills: Proficiency with medical billing software and Electronic Health Records (EHR) systems.
- Communication: Excellent written and verbal communication skills for interacting with providers, insurance companies, and patients.
- Analytical Skills: Exceptional attention to detail and strong analytical skills for effective problem-solving.
Why join our team?
We are a close-knit private practice that values its employees. You will have the opportunity to work independently while also collaborating with our dedicated team to ensure seamless office operations. We offer a supportive work environment and competitive compensation based on experience.