
Medical Claims Analyst
1 week ago
Job Title: Certified Medical Biller and Coder
We are seeking a detail-oriented medical professional to play a critical role in ensuring accurate and timely submission of medical claims. As a certified medical biller and coder, you will utilize your expertise in medical coding and billing processes to optimize revenue cycles while maintaining compliance with regulatory standards.
Key Responsibilities:- Analyze and abstract medical information from patient records for physician/NP visits and home health start-of-care visits.
- Coding diagnostic and procedural information in compliance with ICD-10, Home Health PDGM, CPT-4, HCPCS, MS-DRGs, APCs, and POAs, following national coding guidelines.
- Document essential patient information, including medication history, medical history, active diagnoses, and preventive care screens.
- Consult with medical providers to identify potential missing HCC diagnoses and ensure accurate documentation and code assignment.
- Review claims data to verify accurate coding and billing for all services and procedures.
- Collaborate with healthcare professionals to improve documentation, coding accuracy, and compliance.
- Background in a medical field.
- Proficient in the English language, both written and verbal.
- Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist-Physician (CCS-P).
- At least 2 years of experience in medical coding and billing.
- Strong analytical skills and attention to detail.
- Excellent communication skills and ability to collaborate with healthcare professionals.
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