Biller /Coder - Certified-23 Sterling Group ENT

Colquitt Regional Medical CenterMoultrie, GA

About The Position

Responsible for reviewing provider documentation and accurately assigning diagnosis (ICD-10), procedure (CPT), and HCPCS codes to ensure compliant billing and reimbursement. Prepares and submits insurance claims, monitors claim status, resolves denials and payment discrepancies, and follows up with insurance carriers as needed. Maintains knowledge of coding guidelines, payer requirements, and regulatory changes while working closely with providers and clinic staff to improve documentation accuracy and revenue cycle performance. Assists with patient billing inquiries, account reviews, and other billing-related functions to support efficient clinic operations and financial success.

Requirements

  • Certified coder

Responsibilities

  • Reviewing provider documentation and accurately assigning diagnosis (ICD-10), procedure (CPT), and HCPCS codes
  • Ensuring compliant billing and reimbursement
  • Preparing and submitting insurance claims
  • Monitoring claim status
  • Resolving denials and payment discrepancies
  • Following up with insurance carriers
  • Maintaining knowledge of coding guidelines, payer requirements, and regulatory changes
  • Working closely with providers and clinic staff to improve documentation accuracy and revenue cycle performance
  • Assisting with patient billing inquiries
  • Assisting with account reviews
  • Assisting with other billing-related functions
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