Remote Medical Billing and Coding Specialist | WFH

Medical Billing/Coding Specialist - Remote Opportunity Job Overview... Join our esteemed healthcare organization as a Medical Billing/Coding Specialist, where you will play a pivotal role in our revenue cycle management under the strategic oversight of the Director of Clinical Services. This position offers you the opportunity to apply your expertise in medical coding, insurance regulations, and bookkeeping to enhance our operations and positively impact patient care. Key Responsibilities • Extract and analyze patient record data, collaborating with healthcare providers and external stakeholders for necessary clarifications. • Prepare and submit essential documentation for the OK Review Choice Demonstration process utilizing the Eservices platform. • Ensure accuracy and completeness of medical documents, making corrections when required. • Assign appropriate medical codes, including CPT, HCPCS, ICD-10-CM, and DRG, while adhering to regulatory standards. • Conduct audits of patient charts, providing constructive feedback and education on coding practices to the clinical team. • Serve as a resource for providers and staff, offering guidance on best practices in medical coding. • Address billing software inquiries and troubleshoot related issues efficiently. • Maintain compliance with established medical coding policies and guidelines, remaining current with evolving coding and diagnostic procedures. • Assist in the pre-authorization process for contracted insurances, ensuring seamless operations in patient account management. • Handle payment processing, investigate and resolve rejected claims, and manage patient account payments. • Deliver exceptional customer service by addressing patient billing inquiries promptly and professionally. • Support various coding, billing, and practice management projects as required. • Participate in compliance activities and contribute to educational initiatives related to coding. • Assist in training and validating the competencies of designated personnel as needed. Required Skills • Coding Certification from AAPC or AHIMA is mandatory. • Proficient knowledge of medical coding systems including CPT, HCPCS, ICD-10-CM, and DRG. • Familiar with medical billing software and electronic health records (EMR). • Exceptional attention to detail and accuracy in all tasks. • Strong verbal and written communication skills. • Proficient in Microsoft Office and capable of navigating EMR systems. • Ability to manage multiple projects and meet deadlines in a dynamic environment. Qualifications • High School Diploma, GED, or equivalent. • A minimum of one year of experience in medical coding and billing is required. • Preferred: Five years of experience in healthcare coding, particularly with geriatric or home health sectors.

Career Growth Opportunities

We are committed to fostering your professional development. This role provides you with the chance to expand your expertise and potentially transition into leadership positions within the organization as you grow with us. Company Culture And Values Our organization prides itself on a collaborative and inclusive work environment, where we value the accuracy and compliance of medical coding practices. We are dedicated to supporting our employees’ continuous learning and professional growth. Networking and Professional Opportunities By joining our team, you’ll have the opportunity to connect with industry professionals, participate in networking events, and engage in collaborative projects that will enhance your career trajectory. Equal Opportunity Employer We are proud to be an equal opportunity employer. All qualified applicants will be considered for employment without regard to race, color, religion, age, sex, national origin, disability, or any other protected characteristic. Employment Type: Full-Time Apply Job!