Family Medicine Biller and Coder (End to End)

WOUND CENTRICS LLC • Lubbock, TX

3d • Onsite

About The Position

This role is responsible for the full end-to-end process of Family Medicine providers assigned, including claim coding and submission, and managing rejected and denied claims. The position requires close collaboration with providers and staff to ensure timely billing processes, utilizing the EMR system for charge capture and sequencing. Key duties involve reviewing and interpreting documentation, billing and coding according to payer and facility guidelines, following up on coding edits, and working denied claims to meet appeal deadlines. The role also involves providing coding support to the billing team and ensuring proper billing and coding processes are followed, while managing daily productivity. All other related duties as assigned.

Requirements

• Knowledge of CPT, HCPCS, and ICD-10-CM
• Knowledge of E/M coding guidelines including outpatient, CCM, Annual Wellness etc.
• Knowledge in LCD, NCD and NCCI edits
• Extensive knowledge with different payer guidelines e.g., Medicare, HMO, PPO, Medicare Advantage Plans etc.
• EMR experience (eClinical preferred)
• Knowledge of medical practice revenue processes
• Denial management and coding edit processes
• Ability to analyze documentation and assign appropriate codes
• Ability to work independently with a high degree of attention to detail and reliable decision making
• Strong analytical skills
• High school diploma or GED

Nice To Haves

• Two to Five years of experience in family practice facility
• Current certification CPC, AHIMA etc.
• eClinical EMR experience
• Family Practice coding: 2 to 5 years
• Medical Coding Certification

Responsibilities

• Full end to end process of Family Medicine providers assigned
• Claim Coding and Submission
• Rejected Claims
• Denied Claims
• Work closely with providers and staff to ensure timely billing processes
• Work within the EMR system to ensure charge capture and sequencing
• Reviewing and interpreting documentation
• Billing and Coding according to payer and facility guidelines
• Following up on needed coding edits
• Working denied claims to ensure appeal deadline is not exceeded
• Working with billing team to ensure proper billing and coding processes
• Ability to handle workload or daily productivity
• Providing coding support to the Billing Team
• Performs all other related duties as assigned

Benefits

• 401(k)
• Dental insurance
• Health insurance
• Vision insurance
• Life insurance
• Paid time off

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED