Medical Biller & Coder

Wake County Health and Human Services is looking for a talented Medical Biller Coder who values others in their community and can work with great attention to detail! The Medical Biller Coder position is part of a team responsible for billing claims for Public Health and Health Clinic services, which includes supporting and interacting daily with clinic administration to ensure that all of the data elements necessary to successfully bill and collect payment for each claim. This includes ensuring patient, demographic, payer, provider, diagnoses and procedure codes are correctly recorded in the practice management system. They will be responsible for validating, preparing and submitting patient billing and insurance information for first and third party billing, review records of medical billing and claims, denials, settlements and medical insurance and respond to questions from patients, clerical staff and insurance companies, as well as identify and resolve patient billing complaints. Essential Functions include: Performs accurate and timely coding and billing (CPT, ICD9, ICD10, HCPCS, modifiers) Process claims for multiple payer types (Commercial, Managed Care, Blue Cross, Medicare, Medicaid, etc.) and elevates issues, as appropriate, to the Coding Supervisor Review outstanding accounts for Medicare, Medicaid and insurances and rebill denied claims Researches and complete necessary adjustments to client accounts Handles billing inquires by phone, mail and/or in person from patients, county staff (clinical administrative), insurance companies, Medicaid, Medicare, state and federal officials Follow federal and state and provider billing guidelines Receive payments remitted electronically, by mail, by phone and occasionally in person and log in payments received Post payments and adjustments to accounts Prepare daily deposits