daynalm
New
- Messages
- 5
- Location
- Schwenksville, PA
Qualifications
- "MUST HAVE CPC/CCS CERTIFICATE"
- This role is well suited for someone with a medical billing/coding background who is comfortable reviewing documentation, coding accurately, submitting high volumes of professional claims, and resolving billing issues while working both independently and collaboratively
- Certificate or diploma from an accredited medical billing/coding program
- Professional coding certification (required)
- Knowledge of ICD-10 and CPT coding
- Strong attention to detail and accuracy
- Ability to multitask and prioritize work
- Strong analytical and comprehension skills
- Excellent verbal and written communication
- Intermediate proficiency in Microsoft Excel
- Work independently while maintaining timely communication with management
- Positive attitude and ability to work collaboratively
- Ability to consistently meet deadlines
Responsibilities
- Review, manage and submit 75-100 CMS-1500 professional claims each day
- Assign accurate procedure and diagnosis codes
- Verify claim accuracy before submission
- Review medical records to determine appropriate ICD-10 and CPT codes
- Coordinate with other departments to obtain missing documentation
- Resolve claim rejections and make claim corrections
- Collaborate with revenue cycle teams to understand payer-specific billing guidelines and state insurance requirements
Job description
This role is well suited for someone with a medical billing/coding background who is comfortable reviewing documentation, coding accurately, submitting high volumes of professional claims, and resolving billing issues while working both independently and collaboratively.Primary Responsibilities
• Review, manage and submit 75-100 CMS-1500 professional claims each day.
• Assign accurate procedure and diagnosis codes.
• Verify claim accuracy before submission.
• Review medical records to determine appropriate ICD-10 and CPT codes.
• Coordinate with other departments to obtain missing documentation.
• Resolve claim rejections and make claim corrections.
• Collaborate with revenue cycle teams to understand payer-specific billing guidelines and state insurance requirements.
Key Qualifications
• Certificate or diploma from an accredited medical billing/coding program.
• Professional coding certification (required).
• Knowledge of ICD-10 and CPT coding.
• Strong attention to detail and accuracy.
• Ability to multitask and prioritize work.
• Strong analytical and comprehension skills.
• Excellent verbal and written communication.
• Intermediate proficiency in Microsoft Excel.
• Work independently while maintaining timely communication with management.
• Positive attitude and ability to work collaboratively.
• Ability to consistently meet deadlines.
Preferred Experience
• Medical billing and coding experience with CMS-1500 professional claims.
• Knowledge of insurance policies and reimbursement processes.
• Experience with out-of-network medical billing.