Medical Biller & Coder
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Job Description
Medical Biller & Coder providing billing and coding services for outpatient mental health centers. Responsible for accurate coding, claims submission, and compliance in revenue cycle operations.
Responsibilities:
- Review clinical documentation to confirm required elements are present prior to billing (signed notes, treatment plans, service dates, units, provider credentials)
- Assign accurate CPT, ICD-10-CM, and applicable HCPCS codes based on documentation
- Enter charges accurately into the EHR or billing system
- Submit claims timely and in compliance with payer-specific requirements
- Verify patient demographics, insurance information, and payer details prior to claim submission
- Identify and correct claim rejections, coding errors, and data entry issues
- Support denial resolution activities by correcting coding or documentation issues as directed
- Ensure all services rendered are captured and billed; escalate suspected missed charges
- Maintain organized, audit-ready billing records and supporting documentation
- Adhere to workflows, quality standards, and productivity expectations established by the Team Lead
- Communicate documentation gaps, authorization issues, or system barriers promptly to the Team Lead
- Assist with billing backlogs or high-volume periods
- Support internal quality assurance reviews and audits
- Participate in training, coaching, and cross-training activities
- Provide coverage for essential billing tasks during team member absences
- Support process improvement initiatives related to billing accuracy and turnaround time
Requirements:
- Minimum 2–4 years of U.S. medical billing and coding experience
- Outpatient mental health or behavioral health billing experience preferred
- Working knowledge of CPT, ICD-10-CM, and basic HCPCS coding
- Familiarity with U.S. insurance, Medicaid, and managed care billing processes
- Strong attention to detail and accuracy
- Ability to follow defined workflows and quality standards
- Strong written and verbal English communication skills
- Experience working in secure virtual workstation environments preferred
- Professional coding certifications (CPC or equivalent) preferred
Benefits:
- Not applicable (Independent Contractor)
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