Medical Biller

• Review provider documentation for accuracy and completeness
• Assign ICD-10-CM, CPT, and HCPCS codes for office visits, procedures, diagnostic testing, and treatments
• Ensure coding compliance with payer guidelines, Medicare regulations, and industry standards
• Identify documentation deficiencies and communicate with providers for clarification
• Stay current with coding updates, payer requirements, and regulatory changes
• Prepare and submit clean claims electronically to insurance carriers
• Review and correct claim edits and rejections before submission
• Monitor claim status and ensure timely reimbursement
• Process insurance and patient payments accurately
• Review Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERA) postings
• Assist with claim corrections, rebilling, and appeals
• Maintain accurate patient and billing records in the practice management system
• Code and bill allergy testing, immunotherapy services, biologic injections, pulmonary function testing, and related specialty services
• Verify that coding reflects services provided and supports medical necessity requirements
• Assist in identifying coding and reimbursement opportunities while maintaining compliance
• Ensure compliance with HIPAA, payer policies, and federal regulations
• Participate in internal audits and quality assurance reviews
• Maintain confidentiality of patient and practice information
• Support continuous process improvement within the revenue cycle department
• Maintain coding accuracy and productivity standards
• Ensure timely and accurate claim submission
• Minimize coding-related denials and rework
• Support optimal reimbursement and revenue cycle performance
• Maintain compliance with regulatory and payer requirements

Explore Medical Biller at MODENA. Review requirements and application details.