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Medical Coder/Billing Manager Job in Humble, Texas

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Job Title: Medical Coder/Billing Manager

Employer:Wellspire Medical Group
Specialties:Cardiology, Interventional Cardiology, and Urology
Preferred Certifications:CPC
Required Experience:1 to 2 years
Preferred Experience:5 to 7 years
Location: Humble 77338, TX, US
Date Posted:4/28/2021

Busy multi specialty practice in Northeast Houston area looking for a full-time Medical Billing Manager /CPC coder, who will provide oversite and experience to a high functioning billing team.

RESPONSIBILITIES of the Medical Billing Coordinator:

  • Code all inpatient claims based on physicians documentation for Urology and Cardiology specialties.
  • Oversee a team of medical billers and payment posters.
  • Explain outstanding balance information with patients with positive outcomes.
  • Review AR to ensure timely filing and payments.
  • Review denials and provide guidance to your team to achieve claims payment.
  • Reviews previously worked medical insurance claims for accuracy.
  • Responsible for communicating with Physicians and Administrator on denial trends.
  • Responsible for working medical billing account credits to ensure timely patient and insurance refunds.
  • Familiar with quality requirements such as MIPS/MACRA to insure all metrics are being met by the providers.

REQUIREMENTS for the Medical Billing Coordinator:

  • Certified professional coder (CPC), or 5 years of inpatient coding experience.
  • Knowledge of and experience with insurance plans, deductibles, copays, EOBs, procedure codes and ICD-10 codes, primary care and cardiology preferred.
  • Experience with EMR vendors, eClinical Works preferred.
  • Strong attention to detail; goal oriented.
  • Critical thinker and independent work habits.
  • Excellent customer service and communication skills.
  • Ability to work within a billing team.

Specialty Experience

  • Primary Care, Cardiology and Urology experience preferred



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