We are seeking a detail-oriented and experienced Medical Biller to join our team. The ideal candidate will be responsible for scrubbing claims and correcting coding denials to ensure accurate billing and compliance with healthcare regulations. This role is essential in maintaining the integrity of our coding processes and optimizing revenue cycle management.
Key Responsibilities:
- Review and scrub medical claims for accuracy and completeness before submission.
- Correct coding denials by analyzing the reasons for denial and making necessary adjustments.
- Ensure compliance with all relevant coding guidelines and regulations.
- Collaborate with healthcare providers and billing staff to resolve coding issues and improve processes.
- Maintain up-to-date knowledge of coding updates, regulations, and best practices.
- Generate reports on coding denials and trends to assist in identifying areas for improvement.
- Provide training and support to staff on coding practices and procedures as needed.
Requirements
Candidate must be available to work Monday - Friday. Nextgen, scrubbing, follow up AR, payment poster, FQHC, and behavioral health knowledge. Texas Medicaid experience is a plus. Strong knowledge of ICD-10, CPT, and HCPCS coding systems. FQHC experience required. Medicare follow up proficiency strongly preferred. Excellent attention to detail and analytical skills. Strong communication and interpersonal skills. Ability to work independently and as part of a team. Proficient in Microsoft Office Suite and other relevant software applications. Candidates must be US based and will not require sponsorship.