Billing and Coding - Local

316 Healthcare-posted 1 day ago
Full-time • Entry Level
Onsite • Bremen, GA
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Local to the west metro-Atlanta area. Carrollton/Bremen and surrounding local areas. Knowledge of medical terminology and coding sets. Strong attention to detail and organizational skills. Proficiency with computer systems and billing software. Good communication and problem-solving abilities. Postsecondary education (certificate/degree) required. Certifications (e.g., CPC) are required.

  • Analyzing patient medical records and provider notes to translate diagnoses and procedures into universal alphanumeric codes.
  • Utilizing industry-standard code sets including ICD-10-CM (diagnoses), CPT (procedures/services), and HCPCS Level II (supplies and non-physician services).
  • Ensuring codes meet federal regulations, payer-specific guidelines, and HIPAA confidentiality standards.
  • Creating and submitting electronic or paper claims to insurance companies based on assigned codes.
  • Tracking claim status, investigating denials, and resubmitting corrected claims or formal appeals to ensure maximum reimbursement.
  • Handling inquiries regarding bills, explaining insurance benefits, and establishing payment plans for outstanding balances.
  • Knowledge of medical terminology and coding sets.
  • Strong attention to detail and organizational skills.
  • Proficiency with computer systems and billing software.
  • Good communication and problem-solving abilities.
  • Postsecondary education (certificate/degree) required.
  • Certifications (e.g., CPC) are required.
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