Health Care Center Biller and Coder
Amador Health Center Amador Health Center Las Cruces, NM Las Cruces, NM Full-time Full-time $20 - $25 an hour $20 - $25 an hour 3 days ago 3 days ago 3 days ago This Medical Biller and Coder position is critical to the financial health and operational efficiency of our small healthcare center.
The ideal candidate will be dedicated to maintaining accurate records, ensuring compliance with regulations, and maximizing revenue through efficient billing and coding practices.
As a Health Care Center Biller and Coder specializing in Athena Electronic Health Records (EHR), you will play a vital role in ensuring the financial health and regulatory compliance of our healthcare facility.
Your primary responsibilities will include accurately coding medical services, procedures, and diagnoses and processing insurance claims efficiently using the Athena EHR system.
This role demands a deep understanding of medical billing and coding practices and guidelines, as well as proficiency in using Athena EHR software and, a keen eye for detail, a solid understanding of medical terminology.
Key
Responsibilities:
1.
Medical Coding:
Accurately assign ICD-10, CPT, and HCPCS codes to medical services, procedures, and diagnoses.
Review and interpret patient medical records to identify relevant information for coding.
Maintain up-to-date knowledge of coding guidelines and regulations.
2.
Billing and Claims Processing:
Utilize Athena EHR to create and submit insurance claims, ensuring compliance with payer-specific requirements.
Monitor claims for accuracy and completeness, addressing any discrepancies or errors promptly.
Follow up on denied or rejected claims, resubmitting and appealing as necessary.
Verify patient insurance coverage and eligibility before rendering services.
3.
Athena EHR Expertise:
Navigate and utilize Athena EHR efficiently to access patient records, codes, and billing functions.
Assist colleagues in using Athena EHR effectively, providing guidance and support.
Stay informed about updates and enhancements to Athena EHR and implement best practices.
4.
Compliance and Regulatory Requirements:
Ensure coding and billing practices adhere to HIPAA and other healthcare regulations.
Stay current with changes in healthcare compliance standards and implement them as needed.
Collaborate with the compliance team to conduct internal audits and address any compliance issues.
5.
Documentation and Record Keeping:
Maintain accurate records of coded claims, payments, and accounts receivable.
Keep comprehensive documentation of coding decisions and rationale for auditing purposes.
Generate reports and summaries of billing and coding activities as required.
6.
Communication and Collaboration:
Collaborate with healthcare providers, nurses, and administrative staff to clarify documentation and coding details.
Communicate with insurance companies and patients to resolve billing inquiries or disputes.
Provide regular updates to the healthcare center's management regarding coding and billing performance.
Qualifications:
Certified Professional Coder (CPC) or equivalent coding certification required.
Proficiency in Athena EHR and prior experience in a similar role preferred.
Strong knowledge of medical terminology, anatomy, and coding systems (ICD-10, CPT, HCPCS).
Familiarity with healthcare billing and insurance claim submission processes.
Excellent attention to detail and analytical skills.
Effective communication and interpersonal abilities.
Knowledge of HIPAA and healthcare compliance regulations.
Ability to work independently and as part of a team.
Strong problem-solving and organizational skills.
Job Type:
Full-time Pay:
$20.
00 - $25.
00 per hour
Benefits:
401(k) Dental insurance Employee assistance program Health insurance Life insurance Paid time off Vision insurance Schedule:
8 hour shift Monday to Friday Ability to commute/relocate:
Las Cruces, NM 88005:
Reliably commute or planning to relocate before starting work (Required)
Experience:
ICD-10:
3 years (Preferred) Work Location:
In person.
Estimated Salary: $20 to $28 per hour based on qualifications.
The ideal candidate will be dedicated to maintaining accurate records, ensuring compliance with regulations, and maximizing revenue through efficient billing and coding practices.
As a Health Care Center Biller and Coder specializing in Athena Electronic Health Records (EHR), you will play a vital role in ensuring the financial health and regulatory compliance of our healthcare facility.
Your primary responsibilities will include accurately coding medical services, procedures, and diagnoses and processing insurance claims efficiently using the Athena EHR system.
This role demands a deep understanding of medical billing and coding practices and guidelines, as well as proficiency in using Athena EHR software and, a keen eye for detail, a solid understanding of medical terminology.
Key
Responsibilities:
1.
Medical Coding:
Accurately assign ICD-10, CPT, and HCPCS codes to medical services, procedures, and diagnoses.
Review and interpret patient medical records to identify relevant information for coding.
Maintain up-to-date knowledge of coding guidelines and regulations.
2.
Billing and Claims Processing:
Utilize Athena EHR to create and submit insurance claims, ensuring compliance with payer-specific requirements.
Monitor claims for accuracy and completeness, addressing any discrepancies or errors promptly.
Follow up on denied or rejected claims, resubmitting and appealing as necessary.
Verify patient insurance coverage and eligibility before rendering services.
3.
Athena EHR Expertise:
Navigate and utilize Athena EHR efficiently to access patient records, codes, and billing functions.
Assist colleagues in using Athena EHR effectively, providing guidance and support.
Stay informed about updates and enhancements to Athena EHR and implement best practices.
4.
Compliance and Regulatory Requirements:
Ensure coding and billing practices adhere to HIPAA and other healthcare regulations.
Stay current with changes in healthcare compliance standards and implement them as needed.
Collaborate with the compliance team to conduct internal audits and address any compliance issues.
5.
Documentation and Record Keeping:
Maintain accurate records of coded claims, payments, and accounts receivable.
Keep comprehensive documentation of coding decisions and rationale for auditing purposes.
Generate reports and summaries of billing and coding activities as required.
6.
Communication and Collaboration:
Collaborate with healthcare providers, nurses, and administrative staff to clarify documentation and coding details.
Communicate with insurance companies and patients to resolve billing inquiries or disputes.
Provide regular updates to the healthcare center's management regarding coding and billing performance.
Qualifications:
Certified Professional Coder (CPC) or equivalent coding certification required.
Proficiency in Athena EHR and prior experience in a similar role preferred.
Strong knowledge of medical terminology, anatomy, and coding systems (ICD-10, CPT, HCPCS).
Familiarity with healthcare billing and insurance claim submission processes.
Excellent attention to detail and analytical skills.
Effective communication and interpersonal abilities.
Knowledge of HIPAA and healthcare compliance regulations.
Ability to work independently and as part of a team.
Strong problem-solving and organizational skills.
Job Type:
Full-time Pay:
$20.
00 - $25.
00 per hour
Benefits:
401(k) Dental insurance Employee assistance program Health insurance Life insurance Paid time off Vision insurance Schedule:
8 hour shift Monday to Friday Ability to commute/relocate:
Las Cruces, NM 88005:
Reliably commute or planning to relocate before starting work (Required)
Experience:
ICD-10:
3 years (Preferred) Work Location:
In person.
Estimated Salary: $20 to $28 per hour based on qualifications.
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