The Biller/Coder II reviews complex patient encounters, procedures, and documentation to ensure medical coding is accurate, complete, and compliant. The role verifies that documentation supports assigned codes and identifies discrepancies, trends, and opportunities for improvement. It serves as a subject-matter resource on CPT, ICD, HCPCS, modifiers, payer guidelines, and regulatory requirements, providing real-time coding, documentation, and billing guidance to physicians and APPs. The position supports provider education, onboarding, and specialty meetings to improve documentation accuracy and reduce denials. It responds to coding and workflow inquiries, monitors CMS regulations, coding updates, and payer policies, and communicates relevant changes to stakeholders. The Biller/Coder II also participates in coding audits, documentation improvement initiatives, and cross-functional projects while supporting team workload and maintaining professionalism, confidentiality, and collaboration.
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Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED