Medical Biller/Coder

St. Paul, MN
Posted 5 months ago

Minnesota Epilepsy Group is the largest and most comprehensive adult and pediatric epilepsy program in the Midwest. As a regional referral facility, we are the recognized leader in treating epilepsy and other seizure-related conditions in infants to the elderly. We are a national, state-of-the-art, Level 4 epilepsy center committed to enhancing each patient’s quality of life and maximizing seizure control.  We are seeking a detail-oriented, organized medical coder/biller to join our team.  In this position, you will play a key role in accurately coding and billing healthcare claims in order to obtain reimbursement from insurance companies and government healthcare programs.

Medical Coder/Biller Duties and Responsibilities

Reviews medical record documentation to identify all services provided by physicians

  • Report missing or incomplete documentation
  • Assign appropriate procedure codes and modifiers to accurately report the physician services provided to patients
  • Assign appropriate diagnosis codes to accurately support the need for each physician service
  • Accurate claim entry and submission
  • Post payments to patient accounts
  • Process insurance or patient refunds
  • AR aging and collection activities
  • Resolve billing issues identified by insurance payers and patients
  • Investigate and resolve payment denials and process appeals in a timely manner
  • Serve as a resource regarding insurance resolutions and coding questions
  • Work with the registration department to ensure proper information is received for claims processing
  • Follows coding guidelines and legal requirements to ensure compliance with federal and state regulations
  • Performs additional duties assigned

 Medical Coder/Biller Requirements and Qualifications

  • High school degree or equivalent; Bachelor’s or Associates degree in related field a plus
  • Medical Coding Certificate; CPC by AAPC
  • Maintain coding certification and attends/completes training as required
  • Two (2) years of medical coding & billing experience
  • Experience with insurance terminology, products, notices and explanation of reasons for payment, adjustment, denial and/or uncovered charges of a medical claim
  • Understanding of medical terminology, anatomy and physiology
  • Ability to work independently or as an active member of a team
  • Strong computer skills as it relates to data entry, utilizing insurance applications/websites, Microsoft Office Suite and electronic medical record software, preferably eClinicalWorks (eCW)
  • Detail-orientated
  • Ability to multitask, prioritize, and manage time efficiently
  • Excellent verbal and written communication skills
  • Ability to evaluate processes and make suggestions for improvement

This job description is not intended to be all-inclusive and may be expanded to include other duties and responsibilities that management may deem necessary from time to time.

Minnesota Epilepsy Group is an Equal Opportunity Employer.

Job Type: Full-time

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