Medical Biller & Coder - Newport News
- Accurately assign and review ICD-10, CPT, HCPCS, DRG, and other applicable codes based on clinical documentation and transport services provided.
- Process and submit clean claims to private insurance, Medicare, and Medicaid.
- Review patient information and verify insurance eligibility prior to billing.
- Track and manage claim submissions, denials, rejections, and appeals.
- Follow up on outstanding claims and conduct medical collections in a professional and compliant manner.
- Utilize EMR and EHR systems to maintain accurate patient and billing records.
- Collaborate with healthcare providers and dispatch teams to resolve coding and documentation discrepancies.
- Maintain compliance with federal and state regulations, including HIPAA.
- Stay current with changes in billing codes, payer policies, and industry regulations.
- Assist with internal and external audits and implement corrective actions as needed.
- High school diploma or GED required; Associate’s degree preferred.
- Certification required: Certified Professional Coder (CPC), Certified Professional Biller (CPB), Certified Ambulance Coder (CAC) or equivalent.
- Minimum 2 years of experience in medical billing and coding, with preferable experience in medical transportation or EMS billing in the state of Virginia.
- Strong understanding of ICD-10, CPT, HCPCS, DRG, and transportation billing codes.
- Proficiency in EMR/EHR systems and medical billing software.
- Exceptional attention to detail, organization, and time management skills.
- Strong communication and interpersonal skills to liaise with patients, providers, and insurance representatives.
- Health, dental, and vision insurance
- Paid time off and holidays
- Professional development and training opportunities
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