Claims Denial & Appeals Specialist
Rheumatology AssociatesDallas, TX, USjob_description.job_card.30_days_ago
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job_description.job_card.job_descriptionHigh School Diploma / GED Minimum of 3 years of experience in medical coding and billing Strong knowledge of medical terminology and billing processes Familiarity with insurance guidelines, including Medicare and commercial payers eClinicalWorks (eCW) experience preferred, but not required Certification (CPC, CCS, CBCS, CCA, HCPCS or CPC-A) Excellent communication, organizational, and problem-solving skills Ability to work independently and as part of a team High attention to detail and accuracy Professional references available on request
Job Description
Job Description
Description :
We are seeking a detail-oriented and experienced Medical Coder and Biller to join our Rheumatology practice. The ideal candidate will have a strong understanding of medical billing processes, coding guidelines, and insurance claim procedures, with a minimum of three years of hands-on experience in a medical office or specialty clinic setting. This is a full-time, onsite position.
- Accurately assign ICD-10, CPT, and HCPCS codes for rheumatology services
- Review clinical documentation to ensure proper coding and billing
- Submit and follow up on insurance claims and denials
- Identify areas of coding weakness and develop training plans to address them.
- Work closely with providers and staff to resolve coding and billing discrepancies
- Maintain compliance with current billing regulations and payer requirements
- Review / Audits patient disputes surrounding inappropriate coding in a timely manner and assists with patient billing inquiries.
Requirements : Qualifications :
Additional Requirements :
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Claim Specialist • Dallas, TX, US