Medical Biller & Coder

SHERRI S LEVIN MD PA

Medical Biller & Coder

Houston, TX
Full Time
Paid
  • Responsibilities

    Benefits:

    3% IRA Matching

    life Insurance

    Competitive salary

    Dental insurance

    Free uniforms

    Health insurance

    Opportunity for advancement

    Paid time off

    Savings bank

    Vision insurance

    Job Summary A Medical Practice Biller and Coder manages the revenue cycle by translating patient medical records into standardized codes (ICD-10, CPT, HCPCS) for insurance reimbursement. They submit claims, handle denials, and manage patient invoicing, acting as a key liaison between providers and payers to ensure compliant, accurate financial operations.

    Responsibilities

    Coding: Review patient medical records to assign accurate ICD-10, CPT, and HCPCS codes for diagnoses and procedures.

    Billing & Claims: Prepare, review, and transmit claims to insurance companies (electronic or paper).

    Accounts Receivable: Follow up on unpaid or denied claims and file appeals when necessary.

    Insurance Verification: Verify patient insurance benefits and obtain pre-authorizations prior to service.

    Patient Interaction: Discuss patient financial responsibility, explain Explanation of Benefits (EOB), and set up payment plans.

    Compliance: Maintain strict confidentiality in compliance with HIPAA and ensure coding meets OIG and CMS regulations.

    Qualifications

    Certification: Preferred credentials include Certified Professional Coder (CPC) or Certified Professional Biller (CPB) through AAPC or UMA. required

    Technical Knowledge: Deep understanding of medical terminology, coding systems, and EHR/billing software. required (eCW desired)

    Detail-Oriented: High accuracy in data entry to prevent claim denials. required

    Communication: Ability to communicate clearly with physicians, patients, and insurance carriers required