Medical Coder Specialist
3 weeks ago
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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