Billing Coordinator / Coder Ambulatory

Job Description

Job Description

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.