Medical Coder Specialist

3 weeks ago


India Triple Full time

About the Role

We are seeking a skilled Medical Biller to join our team at Triple. As a Medical Biller, you will play a crucial role in healthcare administration by ensuring patient information is accurately coded for insurance claims and billing purposes.

Key Responsibilities

  • Perform charge and demo entries.
  • Analyze patient medical records to assign appropriate codes to diagnoses, procedures, and medical services using standardized coding systems (ICD-10 and CPT).
  • Review bills for accuracy and completeness and obtain any missing information.
  • Knowledge of insurance guidelines especially Medicare and state Medicaid.
  • Check each insurance payment for accuracy and compliance with the contract.
  • Understands the medical billing process, insurance rules and regulations, and can enforce/abide by policies and procedures.
  • Document all actions taken in the company or Client host system.
  • Adhere to HIPAA, patient confidentiality, and compliance requirements at all times.
  • Research payor rules and regulations to maintain current payor knowledge.

Qualifications

  • Proficiency in medical coding (ICD-10, CPT, HCPCS).
  • Strong attention to detail to ensure accuracy in billing and coding.
  • Knowledge of medical terminology and anatomy.
  • Familiarity with healthcare billing software and electronic health records (EHR).
  • Ability to navigate insurance claim processes and resolve issues.

Work Environment

Quiet and brightly illuminated work environment is required.

Technical Requirements

  • Laptop with Minimum 8GB RAM, I5 8th gen processor.
  • 720P Webcam and Headset.
  • A reliable ISP with a minimum speed of 100 Mbps.
  • Smartphone.

Shift and Schedule

Eastern Time - 6:30 p.m. - 3:30 a.m. IST, Monday - Friday.


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