Job Description
overview
At TeamFicient, we are a dynamic team of highly experienced professionals dedicated to providing tailored solutions that meet the unique needs of our clients. We are currently seeking a skilled Medical Coder & Biller to join our team and play a crucial role in maintaining the efficiency and accuracy of our day-to-day operations.
required qualifications
Medical Coding
- Review medical records to accurately identify diagnoses, procedures, and services provided.
- Assign standardized codes using ICD, CPT, and HCPCS classification systems.
- Ensure coding accuracy to facilitate proper billing and regulatory compliance.
- Maintain patient confidentiality and adhere to HIPAA regulations.
- Stay informed on updates to coding guidelines, insurance policies, and healthcare regulations.
Medical Billing
- Prepare and submit insurance claims based on assigned medical codes.
- Generate bills for patients, particularly for services not covered by insurance.
- Track the status of claims and follow up on unpaid or denied claims promptly.
- Resolve billing discrepancies and work with insurance companies to appeal denied claims.
- Ensure all billing practices comply with federal, state, and payer-specific regulations.
- Communicate effectively with healthcare providers, insurance companies, and patients to clarify billing issues.
Educational Requirements
- High school diploma or equivalent (required).
- Associate’s degree or certificate in medical coding, billing, health information management, or a related field (preferred).
Certifications
- Certified Professional Coder (CPC) from the AAPC (optional but preferred).
- Certified Coding Specialist (CCS) from AHIMA (optional but preferred).
- Certified Medical Reimbursement Specialist (CMRS) from AMBA (optional but preferred).
Responsibilities
- Patient Registration and Insurance Verification
- Charge Entry and Code Assignment
- Claims Submission
- Payment Posting and Accounts Receivable Management
- Patient Billing and Collections
- Compliance with Healthcare Regulations
- Claim Denial Management and Resubmission
- Coding Audits and Validation
- Updating Codes with Industry Changes
Experience
- Previous experience in medical coding and billing ( at least one year) in a healthcare setting
- Experience with electronic health records (EHR) and practice management software
- Knowledge of medical terminology, anatomy, and physiology (required).
- Must have experience working with US companies in this field
Technical Requirements
- High-performance laptop or desktop with a minimum Intel i7 processor (or equivalent) and 16GB RAM to handle software troubleshooting and virtualization efficiently.
- At least one high-resolution monitor (1080p or higher), with dual monitors preferred for multitasking across various systems and networks.
- A stable and fast internet connection with minimum speeds of 50 Mbps and higher is essential, along with a backup Internet Service Provider plan or a secondary location equipped with reliable internet to ensure uninterrupted connectivity and service reliability.
- Professional-grade headset with noise-canceling features for clear communication during support calls.
- A dedicated and secure workspace to handle sensitive information and perform tasks without interruptions.
- Backup power solutions, such as an uninterruptible power supply (UPS) or a power generator, to prevent data loss during power interruptions.