Medical Billing/Coding Assistant

Job Description

Job Description

Medical Billing/Coding Assistant

Position Summary

The Medical Billing/Coding Assistant is responsible for supporting the daily billing and revenue cycle functions of the practice. This position requires strong attention to detail, knowledge of medical billing and coding, and the ability to accurately review and process claims and related documentation.

The ideal candidate will have hands-on experience with medical coding and billing and be comfortable working with insurance claims, payment posting, denials, and account follow-up. Facility and anesthesia coding experience is a plus.

Primary Responsibilities

• Review patient accounts and insurance information for accuracy.
• Review documentation and assign appropriate procedure codes.
• Enter and verify charges accurately.
• Prepare and submit electronic and paper insurance claims.
• Review claims for errors prior to submission.
• Monitor claim status and follow up on outstanding claims.
• Investigate and work insurance denials and rejected claims.
• Make appropriate corrections and resubmit claims when necessary.
• Post insurance and patient payments accurately.
• Review EOBs and remittance advice.
• Identify underpayments, payment discrepancies, and billing issues.
• Assist with insurance appeals and claim reconsiderations.
• Communicate with insurance companies regarding claim and payment issues.
• Assist with accounts receivable follow-up and aging reports.
• Follow all practice policies, payer requirements, and HIPAA regulations.
• Assist with other billing and administrative duties as needed.

ssential Qualifications

• Previous medical coding experience is required.
• Previous medical billing experience required.
• Knowledge of medical terminology, CPT, HCPCS, and ICD-10 coding.
• Understanding of insurance claims and payer requirements.
• Facility and/or anesthesia coding experience preferred but not required.
• Experience reviewing medical records and documentation for accurate coding and billing.
• Strong attention to detail and accuracy.
• Ability to identify coding, billing, and claim submission errors.
• Knowledge of insurance verification, authorizations, claim submission, denials, and appeals.
• Experience with electronic medical records (EMR) and practice management/billing systems.
• Strong computer skills, including Microsoft Office.
• Excellent organizational and time-management skills.
• Ability to work independently while also functioning effectively as part of a team.
• Ability to maintain patient confidentiality and comply with HIPAA requirements.

Education & Experience

• Medical billing and coding certification preferred.
• Prior hands-on medical coding experience required.
• Minimum of 2 years of medical billing/coding experience preferred.
• Facility and anesthesia coding experience is a strong plus .