Senior Medical Coder

1 month ago


Cebu, Philippines KMC Solutions Full time

Job Summary: Sr. Medical Biller/Coder responsible for accurately processing and managing billing and coding tasks for medical and vision care services.

Responsibilities:

  • Review and analyze clinical documentation from physicians and vision care providers, assigning appropriate CPT, ICD-10, and HCPCS codes.
  • Ensure accurate and complete documentation is maintained to support coding and billing activities.
  • Prepare and submit claims to insurance companies, Medicare, and other third-party payers, verifying compliance with payer-specific guidelines and regulatory requirements.
  • Monitor claim status, identify and resolve issues related to rejections, denials, or underpayments.
  • Track and manage accounts receivable to maintain an accurate record of outstanding payments.
  • Generate reports on coding accuracy, claim denial rates, and revenue impacts related to coding practices.
  • Collaborate with the billing department to resolve coding-related issues.

Requirements:

  • At least 4 years of Medical Billing and/or Coding experience.
  • Strong knowledge and understanding of ICD-10, CPT, and modifier codes.
  • Excellent verbal, written, and interpersonal communication skills.
  • Exceptional listening and analytical skills.
  • Proficiency in electronic health records (EHR) systems and practice management software.
  • Intermediate level of expertise with PC hardware and software.

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