Medical Coding & Billing Specialist

A Remote Medical Coding & Billing Specialist is responsible for reviewing patients' medical records, assigning appropriate medical codes to diagnoses and procedures, preparing insurance claims, and managing billing processes for healthcare providers. The specialist ensures that medical services are accurately documented, coded, and billed so healthcare organizations receive proper reimbursement from insurance companies and patients. Typical Responsibilities Review patients' medical records and clinical documentation. Assign appropriate ICD-10, CPT, and HCPCS codes. Prepare and submit medical insurance claims. Verify patients' insurance information and eligibility. Review billing records for accuracy. Identify and correct coding and billing errors. Follow up on rejected or denied insurance claims. Process payments and reimbursement records. Maintain accurate patient billing information. Communicate with healthcare providers and insurance companies. Ensure compliance with HIPAA and medical billing regulations. Maintain confidential medical and financial records. Common Requirements High school diploma or equivalent; additional healthcare education is beneficial. Knowledge of medical terminology. Understanding of medical coding systems, including ICD-10, CPT, and HCPCS. Knowledge of medical billing and insurance procedures. Strong data-entry and computer skills. Excellent attention to detail. Good written and verbal communication. Ability to maintain patient confidentiality. Understanding of healthcare documentation. Previous medical billing or coding experience is preferred.