Medical Biller/Coder US APPLICANT'S ONLY; SPONSORSHIP NOT AVAILABLE; POSITION LOCATED IN WYOMING

Warm Valley Health Care•Fort Washakie, WY

1d•Onsite

About The Position

Warm Valley Health Care is looking to add to the Billing/Coding department. The Medical Biller/Coder is responsible for translating healthcare services rendered into standardized codes for insurance billing, ensuring accurate reimbursement. This role ensures the efficient processing of patient data, medical records, and insurance claims in compliance with healthcare regulations.

Requirements

High school diploma or equivalent required
Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Biller (CPB), or similar credentials
1-3 years of medical billing and coding experience in a healthcare setting.
Extensive Medicare and Medicaid Billing experience.
Knowledge of medical terminology, anatomy, and insurance billing procedures.
Proficient with billing software, electronic health records (EHRs), and Microsoft Office Suite.
Excellent organizational, communication, and problem-solving skills.
Ability to work independently and meet deadlines.
Must pass pre-employment drug screening.
Successfully pass the employment background check.

Nice To Haves

Associate's degree in Health Information Management or related field preferred.

Responsibilities

Accurately assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses and procedures based on medical documentation.
Review patient records for completeness, accuracy, and compliance with regulations.
Prepare and submit clean claims to insurance companies electronically or via paper submission.
Follow up on unpaid claims within standard billing cycle timeframe.
Resolve billing issues with insurance companies, patients, and healthcare providers.
Correct rejected or denied claims and resubmit for payment.
Post payments and adjustments to patient accounts.
Generate patient statements and respond to billing inquiries.
Maintain strict confidentiality of patient health information (HIPAA compliance).
Stay updated on coding guidelines and insurance regulations, including Medicare and Medicaid rules.
Assist with audits, reporting, and other administrative tasks as needed.