Impress employers and recruiters.
Choose from hundreds of resume examples.

Target Resume Now

About the Role

The Certified Medical Coder or Charge Entry Specialist is responsible for reviewing patient medical records and translating them into codes for insurance claims processing. This role involves confirming treatment with providers, identifying missing information, and submitting claims for reimbursement. Flexible scheduling options are available, including a 4-day workweek, traditional schedule, or early schedule, with no evenings, weekends, or major holidays required.

Responsibilities

Review and analyze medical records to ensure accurate coding and billing guidelines are followed.
Assign appropriate ICD-10, and other relevant codes to medical procedures based on correct coding edits.
Review charges submitted with errors for accurate claims submission by correcting errors from Claims Editing software.
Provide manual charge entry as needed.
Upload claims to practice management system and/or clearinghouse.
Maintain confidentiality of patient information and adhere to HIPAA regulations.
Collaborate with healthcare providers and staff members to ensure accurate documentation and coding guidelines have been met.
Discuss coding guidelines with providers and provide training as needed.
Report emerging trends to management which need to be escalated.
Follow policies and procedures to contribute to the efficiency of the business.
Cover for and assist with other functions in the department as assigned.

Requirements

High School Diploma or higher
Certified Professional Coders License
Minimum of 1+ year in Medical Billing and Coding (2+ years preferred)
Knowledge of ICD-10 and HCPCS Codes
Continual Education of Codes and Payer Guidelines
Minimum of 40 words per minute typing speed

Skills

Strong analytical and problem-solving skills with an attention to detail.
Excellent mathematical skills, computer skills, and Microsoft applications (including Excel)
Excellent written, verbal, interpersonal communication skills.
Drive to take initiative and be a self-starter.
Ability to prioritize tasks and to delegate when appropriate.
Excellent time management skills are essential along with the ability to meet deadlines.
Able to establish and maintain effective working relationships with the insurance carriers, patients, and employees.
Must possess a high degree of professionalism and be able to work in a high-pressure environment with multiple departments.

Location

Austin, TX

Work Type

Permanent - Full Time

Experience Level

1+ year in Medical Billing and Coding
2+ years preferred

Education Level

High School Diploma or higher
Certified Professional Coders License

Benefits

Medical, Dental and Vision Insurance
Generous Paid Time Off and Paid Holidays
401(k) + Generous Employer Match
Free Allergy Testing and Discounted Treatments
Gym Membership Discounts
Life Insurance
Employee Reward Program