Medical Records Coder (Billing Specialist)

KIDZ MEDICAL SERVICE.•Miramar, FL

7h•Onsite

About The Position

In-person Full Time Billing Specialist performs diagnosis and procedural coding to individual patient health information for data retrieval, analysis, and claims processing. The role involves reviewing patient medical records for accurate and complete documentation prior to coding and working closely with the physician coordinator to resolve discrepancies before claim submission. The specialist codes for assigned physicians, locations, and/or departments based on medical record documentation, applying knowledge of current coding and billing requirements to ensure correct claim submission. They are also responsible for bringing identified concerns and trends to the manager/team lead for resolution, reviewing coding and billing worklists, resolving claim rejections, entering patient demographic information, and verifying patient insurance coverage.

Requirements

Working knowledge of CPT and ICD10 coding
Minimum 2 years’ experience in medical billing and coding
Excellent attention to detail and follow up
Knowledgeable of payer rules and requirements for both coding and eligibility checking
High school diploma or general education degree
Computer skills required: Efficient data entry skills for both speed and accuracy
Bilingual (Required)

Nice To Haves

Medical coding certification preferred but not required

Responsibilities

Reviews the patient ‘s medical record for accurate and complete documentation prior to coding.
Works closely with the physician coordinator regarding discrepancies found in patient’s record prior to claim submission
Codes for assigned physicians, locations, and/or departments from review of medical record documentation.
Applies knowledge of current coding and billing requirements to assure claims are submitted correctly
Brings identified concerns and trends to the manager/team lead for resolution.
Reviews coding and billing worklists and resolves claim rejections.
Enters patient demographic information and verifies patient insurance coverage