Overview

Position Title: Medical Coder & Billing Analyst

Company: City Of Cleveland

Location: Cleveland, Ohio, US

Job Description:

Under general supervision, accurately and properly verifies, analyzes, codes, and submits medical claims. Collects all pertinent medical and billing collection data.

Responsibilities:

  • Under general supervision, accurately and properly verifies, analyzes, codes, and submits medical claims.
  • Collects all pertinent medical and billing collection data.
  • Verifies and determines insurance coverage and eligibility.
  • Reviews and determines medical necessity as well as most accurate ICD, CTP, and/or HCPS codes based upon medical terminology, medical history, clinical assessments, and treatment.
  • Prepares various forms of reports and correspondence to patients and payers which would include patient invoices and electronic/paper claims.
  • Handles patient inquiries via phone or written correspondence.
  • Performs other job-related duties as required.

Requirements:

  • A High School Diploma or GED is required.
  • An Associate’s Degree in Health Information Management specializing in medical billing is preferred.
  • Medical billing certification by the National Academy of Ambulance Coding, American Medical Billing Association, American Academy of Professional Coders, Board of Medical Specialty Coding, Professional Association of Health Care Coding Specialist, or a state-accredited educational institution that formally validates competencies in medical billing, healthcare claims, and healthcare billing compliance is required.
  • Two years of full time paid combined experience performing medical billing or coding functions is required.