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    Medical Biller and Certified Coder Colorado Springs Colorado Location - Sunrise Health Care, PC

    Sunrise Health Care, PC
    Sunrise Health Care, PC Colorado Springs, United States

    1 week ago

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    Description

    Job Description

    Job 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


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