Medical Biller/Coder

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk?

Bayhealth Medical Center is Central and Southern Delaware’s healthcare leader with hospitals in Dover and Milford, a s well as stand -alone Emergency Department in Smyrna and a hybrid E mergency Department and Urgent Care in Milton . We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore . Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!

Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including:

Generous Paid Time Off and Paid Holidays

Matching 401(k)/403(b) Plans

Excellent Health, Dental, and Vision

Disability and Life Insurance options

On Site Child Care

Educational Reimbursement

Health Care and Dependent Care Flex Spending Accounts

Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!

Location: Kent Campus Hospital

Status: Full Time 80 Hours

Shift: Days

SALARY RANGE: 21.68 - 32.52 HOURLY

General Summary:

Position is responsible all aspects of the medical billing process from generating completed medical claims submissions to a completed and paid A/R. Abstracts clinical information from a variety of medical records, and assigns appropriate ICD-10 and/or CPT-4 codes to unfinished medical claims. Maintain full cycle of medical billing from completed claims’ submission to full claim’s payments.

Responsibilities:

1. Code correct medical billing claims generated from the EMR and submit the claims correctly from the first time.

2. When needed, abstracts data from patients’ medical records to maintain full diagnosis coding and charges capture.

3. The Medical Biller reviews and analyzes records for errors and corrects them immediately.

4. Identifies and verifies medical necessity from updated medical policies published by the insurance carriers.

5. Inform the responsible channels of all issues that create loss of reimbursement, constant errors and other issues pertaining to management issues.

6. Maintain daily A/R functions and being responsible for any revenue cycle issues due to medical billing issues.

7. As needed, respond to physician inquiries that concern the proper documentation of diagnostic procedural information and questions regarding coding assignments.

8. As needed, respond to patient inquiries concerning invoicing or related financial issues.

9. All other duties as assigned, within the scope and range of job responsibilities.

Required Education, Credential(s) and Experience:

Education: High School Diploma or GED

Certificate Program

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Medical Coding & Billing

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Credential(s): ;

Experience: Required: Office setting experience Preferred: EPIC, 3-6 years’ experience with full medical billing functions.

Preferred Education, Credential(s) and Experience:

Education:

Credential(s):

Experience:

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