Medical Billing Coder I
The University of Alabama • Tuscaloosa, AL4d • $21 - $27
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Medical Billing Coder I - UMC Billing Office - 530819
The University of Alabama•Tuscaloosa, AL
•$21 - $27
About The Position
The Medical Billing Coder I provides timely and accurate processing of multi-specialty physician office visits, inpatient and surgical hospital visits, and procedural coding in an academic environment. The position reviews and corrects charges submitted from clinic and hospital electronic health records using CPT, HCPCS, ICD-10, and insurance payer standards, follows up on unpaid insurance claims, corrects denials and audit trails, and responds to patient statement inquiries. The role supports medical billing services for the College of Community Health Sciences. It prepares and submits clean claims electronically or on paper, verifies that documentation supports diagnoses, procedures, and treatment results, identifies billing and coding trends, and provides feedback to the Supervisor. It also advises faculty, residents, learners, and clinical staff on documentation and coding, and resolves coding edits during charge entry to support timely claim submission. The Medical Billing Coder I responds to billing questions from patients, clinicians, clerical staff, and insurance companies; evaluates patient financial status and establishes budget payment plans; flags delinquent accounts for collection; works outstanding receivables and insurance denials, submits appeals, and contacts patients about coordination-of-benefits issues. The position processes patient payments and prepares end-of-day reports while maintaining confidentiality and complying with HIPAA requirements.
Requirements
- High school diploma or GED and four years of medical bill coding experience; or an associate degree or medical coding certificate and two years of medical bill coding experience; or a bachelor's degree and some medical bill coding experience.
- Experience processing charges submitted in an electronic health record system.
- Excellent organizational skills and effective written and verbal communication skills.
- Strong attention to detail.
- Excellent customer service skills, including respect, cultural awareness, and sensitivity.
- Ability to work independently and solve problems.
- Time management skills.
- Ability to maintain strict confidentiality.
Nice To Haves
- Knowledge and skill in working with Excel spreadsheets and Word documents.
- Certified Professional Coder (CPC) certification from the American Academy of Professional Coders (AAPC).
- Certified Coding Specialist certification from the American Health Information Management Association (AHIMA).
- ICD-10 training or experience.
Responsibilities
- Process multi-specialty physician office, inpatient, surgical hospital, and procedural charges accurately and promptly.
- Review and correct clinic and hospital electronic health record charges using CPT, HCPCS, ICD-10, and insurance payer standards.
- Prepare and submit clean insurance claims electronically or by paper.
- Review documentation to verify support for diagnoses, procedures, and treatment results.
- Follow up with insurance companies on unpaid claims and resolve denials, including submitting appeals.
- Correct denials and audit trails and resolve coding edits during charge entry.
- Track billing and coding problems and provide timely feedback to the Supervisor.
- Advise faculty, residents, learners, and clinical staff on proper documentation and coding services.
- Respond to billing questions and resolve patient billing inquiries.
- Evaluate patients’ financial status and establish budget payment plans.
- Identify and flag delinquent accounts for collection agency submission.
- Complete worklog tasks and outstanding accounts receivable reports.
- Contact patients to resolve coordination-of-benefits issues.
- Process patient payments and prepare end-of-day reports.
- Maintain strict confidentiality and comply with HIPAA guidelines and regulations.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
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