Medical Biller & Coder – Radiology
Max AI
contract
Posted on:
Location Type: Remote
Location: Missouri • United States
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Salary
💰 $25 - $50 per hour
About the role
- Process medical billing claims accurately and efficiently using appropriate coding systems such as ICD-10 and ICD-9, CPT, and HCPCS for both inpatient hospital and outpatient clinic settings.
- Review patient records to ensure all necessary information is included for billing purposes.
- Verify insurance coverage and benefits prior to submitting claims to ensure proper reimbursement.
- Follow up on unpaid claims and conduct medical collections as necessary.
- Maintain accurate records of all billing transactions and communications with insurance companies and patients.
- Collaborate with healthcare providers to resolve any discrepancies in billing or coding.
- Stay updated on changes in medical billing regulations, coding practices, and insurance policies.
- Utilize medical office systems and hospital EHRs to manage billing processes and maintain patient confidentiality.
- Prepare for and respond to payer or government audits related to radiology services.
- Track and analyze key performance indicators (KPIs) such as denial rates and days in accounts receivable.
- Support contract negotiations as necessary and manage appeals and denials.
Requirements
- Proven experience in medical billing and coding, or a related field is preferred.
- Strong knowledge of medical terminology, DRG (Diagnosis Related Group), and various coding systems (ICD-10, ICD-9, CPT, HCPCS).
- Familiarity with both hospital (inpatient) and outpatient records management and the healthcare reimbursement process.
- Excellent attention to detail with strong organizational skills.
- Ability to communicate effectively with healthcare professionals, insurance representatives, and patients.
- Proficient in using medical office software, hospital EHRs, and billing systems.
- Certification in medical billing or coding is a plus but not required; advanced certifications or specialty credentials in radiology coding are highly desirable.
- Knowledge of HIPAA compliance, fraud prevention, and audit readiness.
Benefits
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical billingmedical codingICD-10ICD-9CPTHCPCSDRGbilling processesinsurance verificationauditing
Soft Skills
attention to detailorganizational skillscommunication skillscollaborationproblem-solvinganalytical skillstime managementcustomer service
Certifications
medical billing certificationmedical coding certificationadvanced radiology coding certification