Medical Coder & Biller
On-siteSan Leandro, California, United States
Job Summary
Review medical records to identify diagnoses and procedures, then assign Current Procedural Terminology (CPT), HCPCS, and ICD-10 codes under supervision. Make decisions on which codes and functions to apply, including diagnostic and procedural information, significant reportable elements, and complex classifications. Provide provider feedback on coding decisions. Handle billing functions such as claims, rejections, denials, and payment posting as assigned. This role is 90% coding and 10% billing, requiring detail-oriented individuals with outstanding people skills to navigate insurance claims and databases effectively.
Required Qualifications
- detail-oriented
- outstanding people skills
- motivation
- Current Procedural Terminology (CPT)
- Healthcare Common Procedure Coding System (HCPCS)
- International Classification of Diseases Tenth Revision Clinical Modification (ICD10)
- ability to assign codes and functions
- ability to make decisions on which codes and functions should be assigned
- ability to review medical records to identify diagnoses/procedures
- ability to code diagnostic and operative information from the medical record using ICD-CM, CPT and HCPCS coding classification systems
- ability to provide provider feedback
- ability to handle billing functions (claims, rejections, denials, payment posting)
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