**Note: Please only apply to the specific job posting for which you have experience in the specialty. Duplicate applications will not be considered.
Job Summary
We are seeking a detail-oriented and knowledgeable Medical Biller and Coder for Radiology Department to join our healthcare team. The ideal candidate will be responsible for managing the billing process, ensuring accuracy in medical coding, and facilitating timely payments from insurance companies and patients. This role requires expertise in both hospital (inpatient) and outpatient coding, as well as a strong understanding of medical terminology, billing, and revenue cycle management (including collections).
Responsibilities
- Process medical billing claims accurately and efficiently using appropriate coding systems such as ICD-10 and ICD-9, CPT, and HCPCS for both inpatient hospital and outpatient clinic settings.
- Review patient records to ensure all necessary information is included for billing purposes.
- Verify insurance coverage and benefits prior to submitting claims to ensure proper reimbursement.
- Follow up on unpaid claims and conduct medical collections as necessary.
- Maintain accurate records of all billing transactions and communications with insurance companies and patients.
- Collaborate with healthcare providers to resolve any discrepancies in billing or coding.
- Stay updated on changes in medical billing regulations, coding practices, and insurance policies.
- Utilize medical office systems and hospital EHRs to manage billing processes and maintain patient confidentiality.
- Prepare for and respond to payer or government audits related to radiology services.
- Track and analyze key performance indicators (KPIs) such as denial rates and days in accounts receivable.
- Support contract negotiations as necessary and manage appeals and denials.
Requirements
- Proven experience in medical billing and coding, or a related field is preferred.
- Strong knowledge of medical terminology, DRG (Diagnosis Related Group), and various coding systems (ICD-10, ICD-9, CPT, HCPCS).
- Familiarity with both hospital (inpatient) and outpatient records management and the healthcare reimbursement process.
- Excellent attention to detail with strong organizational skills.
- Ability to communicate effectively with healthcare professionals, insurance representatives, and patients.
- Proficient in using medical office software, hospital EHRs, and billing systems.
- Certification in medical billing or coding is a plus but not required; advanced certifications or specialty credentials in radiology coding are highly desirable.
- Knowledge of HIPAA compliance, fraud prevention, and audit readiness.
Join our dedicated team where your expertise will contribute to the efficient operation of our healthcare services while ensuring patients receive the care they deserve through accurate billing practices.
Job Types: Full-time, Contract
Pay: $25.00 - $50.00 per hour
Please Note: This position may require a two-week trial period at our standard trial rate.
Requirements
Experience:
- ICD-10: 1 year (Required)
- Radiology Coding & Billing: 3 years (Preferred)
Certifications:
- RCC
- RCCIR (preferred but not required)
- CIRCC (preferred but not required)
Benefits
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
