Family Medicine Biller and Coder; End to End

Job Details

Job Location:

MD Billing Specialist - LUBBOCK, TX 79424

Education Level: High School

• Responsible for full end to end process of Family Medicine providers assigned.
• Claim Coding and Submission
• Rejected Claims
• Denied Claims
• Work closely with providers and staff to ensure timely billing processes.
• Work within the EMR system to ensure charge capture and sequencing.
• Reviewing and interpreting documentation.
• Billing and Coding according to payer and facility guidelines.
• Following up on needed coding edits.
• Working denied claims to ensure appeal deadline is not exceeded.
• Working with billing team to ensure proper billing and coding processes.
• Ability to handle workload or daily productivity.
• Responsible for providing coding support to the Billing Team.
• Performs all other related duties as assigned.

• Two to Five years of experience in family practice facility (preferred)
• Current certification CPC, AHIMA etc. (preferred)
• Knowledge of CPT, HCPCS, and ICD-10-CM
• Knowledge of E/M coding guidelines including outpatient, CCM, Annual Wellness etc.
• Knowledge in LCD, NCD and NCCI edits
• Extensive knowledge with different payer guidelines e.g., Medicare, HMO, PPO, Medicare Advantage Plans etc.
• EMR experience (eClinical preferred)
• Knowledge of medical practice revenue processes.
• Denial management and coding edit processes.
• Ability to analyze documentation and assign appropriate codes.
• Ability to work independently with a high degree of attention to detail and reliable decision making.
• Strong analytical skills.
• High school diploma or GED

• Office / On Site Lubbock, TX or Remote

• Family Practice coding: 2 to 5 years (Preferred)

• Medical Coding Certification (Preferred)

• Monday to Friday

• 401(k)
• Dental insurance
• Health insurance
• Vision insurance
• Life insurance
• Paid time off