Job Title: Insurance Biller and Coder
Position Summary
The Insurance Biller and Coder is responsible for accurate medical coding, timely insurance claim submission, and efficient revenue cycle management. This role ensures that all services provided by Kirar Superior Healthcare are coded correctly, billed promptly, and compliant with applicable regulations. The ideal candidate demonstrates strong analytical skills, attention to detail, and a solid understanding of insurance processes to support financial integrity and patient satisfaction.
Key Responsibilities
Medical Coding
- Review clinical documentation to accurately assign ICD-10, CPT, and HCPCS codes
- Ensure coding accuracy, completeness, and compliance with payer and regulatory guidelines
- Identify and resolve coding discrepancies in collaboration with clinical staff
- Stay current with coding updates, policy changes, and industry standards
Insurance Billing & Claims Management
- Prepare, submit, and track insurance claims in a timely manner
- Monitor claim status, follow up on unpaid or denied claims, and initiate appeals when necessary
- Verify patient insurance eligibility and benefits prior to billing
- Post payments, adjustments, and reconcile accounts accurately
Revenue Cycle Support
- Analyze denials and underpayments to identify trends and improve reimbursement
- Maintain accurate billing records and financial documentation
- Work closely with front desk and clinical teams to ensure complete and accurate charge capture
- Assist with audits and compliance reviews as required
Communication & Coordination
- Communicate effectively with insurance carriers, patients, and internal departments
- Respond to billing inquiries professionally and clearly
- Educate patients on insurance coverage, billing statements, and payment responsibilities
Required Competencies, Behaviors & Knowledge
Core Competencies
- Strong attention to detail and analytical thinking
- Excellent organizational and time-management skills
- Ability to work independently and meet deadlines
- Proficiency with billing software, EMR systems, and Microsoft Office
Professional Behaviors
- High level of integrity, confidentiality, and ethical conduct
- Calm, professional demeanor when handling billing issues or denials
- Accountability and commitment to accuracy
- Team-oriented and solution-focused approach
Knowledge Requirements
- In-depth knowledge of medical coding standards (ICD-10, CPT, HCPCS)
- Understanding of insurance plans, payer policies, and reimbursement processes
- Familiarity with healthcare compliance and privacy regulations
- Knowledge of denial management and appeals processes
Qualifications
- High school diploma or equivalent (required)
- Certification in medical coding (CPC, CCS, or equivalent) preferred
- Previous experience in medical billing and coding preferred
Mission statement for Kirar Superior Healthcare
“We at Kirar Superior Healthcare transform the health of our community by helping people move freely, heal naturally, and live fully for 100 years through chiropractic care.”
Our Vision
“We envision growing opportunities for a strong team united by purpose, compassion and a shared commitment to help every person we serve thrive without limits - together every day.”