Responsibilities
• Review and analyze medical records to verify appropriate ICD-10 diagnosis codes, CPT procedure codes, and modifiers.
• Ensure all billing information complies with current healthcare regulations and payer requirements
• Submit accurate claims electronically through Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems
• Follow up on unpaid or rejected claims to facilitate timely collections and resolve discrepancies in medical billing and collections processes
• Maintain detailed documentation of coding decisions, medical records, and billing activities for audit readiness
• Collaborate with healthcare providers to clarify documentation and improve coding accuracy
• Stay updated on changes in medical coding standards, regulations, and insurance policies to ensure ongoing compliance
Requirements
Qualifications
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Biller (CPB) or equivalent certification required
• Proven experience in medical coding and billing within a healthcare setting
• Strong knowledge of ICD-10, CPT coding systems
• Familiarity with medical terminology, medical records management, and EHR/EMR systems
• Understanding of medical office workflows, insurance claim processes, and medical collections
• Excellent attention to detail with the ability to interpret complex clinical documentation accurately
• Effective communication skills for collaborating with healthcare teams and insurance companies
Benefits
Dental Insurance
Medical Insurance - reimbursement
401(k)
Paid Time Off
Looking for a candidate who is located in Wisconsin.