Billing Coordinator / Coder Ambulatory

About the job Billing Coordinator / Coder Ambulatory

Billing Coordinator / Coder - Ambulatory

Schedule: Full-time, Days

Job Type: Permanent w/ Benefits

Job Summary

The Billing Coordinator / Coder is responsible for coordinating the day-to-day billing operations of the department and supporting outpatient billing services utilizing a centralized medical information system. This position is responsible for accurately abstracting data following ICD-10-CM, CPT, and HCPCS coding guidelines and directives. The role also performs data entry of required patient information into the electronic medical record system and communicates with physicians when appropriate.

Essential Job Functions

Coordinate pertinent information from patient medical records for submission to the physician billing service

Verify patient insurance and act as a liaison regarding charges, billing inquiries, and outstanding balances

Ensure proper receipt of authorizations/referrals and completion of all required forms

Analyze medical records and identify documentation deficiencies

Monitor coding and billing corrections on a daily basis

Assign CPT, HCPCS, and ICD-10-CM codes accurately

Assess clinical documentation and communicate with providers regarding missing or incomplete information needed for proper coding

Address coding edits and reimbursement-related documentation requirements

Maintain required productivity and quality standards

Comply with organizational policies, procedures, and standards of behavior

Report unusual circumstances, risk factors, errors, and discrepancies to management

Perform additional duties and special projects as assigned Qualifications

High School Diploma or GED required

Minimum of 1 year of coding or professional billing experience preferred

Knowledge of medical terminology, anatomy, and physiology

Strong computer proficiency including typing accuracy and speed

Excellent written and verbal communication skills

Proficiency in Microsoft Office and Google Suite platforms Preferred Experience

Outpatient hospital ICD-10 diagnosis, CPT procedural, and E&M coding experience preferred Certifications

Certified Coding Specialist (CCS), Certified Outpatient Coder (COC), Certified Professional Coder (CPC), or equivalent certification preferred

AHIMA or AAPC credential preferred

Equal Opportunity Employer:

We are committed to creating an inclusive and diverse workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, age, or any other legally protected characteristic.

Applicants must be authorized to work in the United States. Employment may be contingent upon successful completion of background checks, reference checks, and any required screenings in accordance with applicable laws and client requirements.