Medical Coding and Billing Specialist
Quality Medical Group Inc.
Miami, Florida
08.2024 - Current
- Updated patient demographics information within practice management system.
- Verified patient information, including medical history and insurance coverage, to ensure accuracy of coding and billing.
- Trained new employees on medical coding practices.
- Facilitated payment arrangements with patients and guarantors who were unable to make full payment at time of service.
- Provided customer service support via phone or email regarding account balances or other inquiries related to billing issues.
- Performed data entry into electronic health record system for all relevant patient information including diagnoses, procedures performed, medications prescribed .
- Analyzed trends in denials in order to recommend process improvements which would reduce the number of denials received.
- Monitored regulatory updates from Medicare and Medicaid programs as well as private insurers.
- Assigned appropriate codes using ICD-10-CM for diagnosis, CPT for procedures, HCPCS for supplies and modifiers as required by payers.
- Reviewed physician orders, laboratory results, diagnostic images, clinical statements and other health care provider services for completeness and accuracy.
- Adhered to HIPAA regulations when handling confidential patient information.
- Submitted claims electronically to insurance companies in accordance with regulations.
- Provided administrative support including filing documents, preparing correspondence .
- Conducted audits of medical records to identify missing or incorrect documentation that could affect accurate coding and billing.
- Generated reports from software systems to track claim status and denials.