Medical Coding and Revenue Cycle Expert

5 days ago

Ahmedabad, Gujarat, India beBeeCoding Full time ₹ 4,00,000 - ₹ 8,00,000
Medical Coding and Billing Specialist

We are seeking a highly skilled Medical Coding and Billing Specialist to join our organization. This role involves handling the complete revenue cycle management process, from accurate coding and billing to timely follow-up on claims and payments.

Key Responsibilities:

  • Review and assign appropriate medical codes (ICD-10, CPT, HCPCS) to ensure compliance with payer and regulatory requirements.
  • Prepare and submit accurate medical claims to insurance companies, government payers, and patients.
  • Track, monitor, and manage accounts receivable to ensure timely reimbursement.
  • Identify, research, and resolve claim denials, rejections, and discrepancies.
  • Follow up with insurance companies, providers, and patients regarding outstanding claims and balances.
  • Maintain up-to-date knowledge of coding guidelines, insurance policies, and billing regulations.
  • Generate reports related to billing, collections, and AR performance.
  • Collaborate with healthcare providers and internal teams to optimize revenue cycle efficiency.

Required Skills and Qualifications:

  • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification preferred.
  • Proven experience in medical coding, billing, or AR management.
  • Strong understanding of ICD-10, CPT, HCPCS, and payer guidelines.
  • Proficiency in medical billing software and electronic health records (EHR).
  • Excellent communication, problem-solving, and organizational skills.
  • Ability to work independently as well as part of a team with strong attention to detail.

Benefits:

This role offers a competitive salary, comprehensive benefits package, and opportunities for professional growth and development.

About the Role:

This Medical Coding and Billing Specialist will be responsible for ensuring accurate and timely processing of medical claims, maintaining up-to-date knowledge of coding guidelines and regulations, and collaborating with internal teams to optimize revenue cycle efficiency.

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