Medical Biller & Coder – Radiology

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🕒 February 25

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $25 - $50 / hour

⏳ Contract/Temporary

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Max AI

WebsiteLinkedInAll Job Openings

11 - 50 employees

🤖 Artificial Intelligence

☁️ SaaS

🤝 B2B

Artificial Intelligence • SaaS • B2B

Max AI is an agentic orchestration platform that autonomously validates clinical documentation and automates revenue cycle workflows for healthcare providers. It uses AI agents to perform upstream clinical integrity checks (chart review, CDI, E/M validation) and downstream revenue operations (autocoding, claim generation, scrubbing, submission, denial resolution, and AR reconciliation). The platform integrates with EHRs and clearinghouses, is HIPAA-compliant and SOC 2 Type II certified, and is offered as a B2B SaaS solution.

📋 Description

• Process medical billing claims accurately and efficiently using appropriate coding systems such as ICD-10 and ICD-9, CPT, and HCPCS for both inpatient hospital and outpatient clinic settings. • Review patient records to ensure all necessary information is included for billing purposes. • Verify insurance coverage and benefits prior to submitting claims to ensure proper reimbursement. • Follow up on unpaid claims and conduct medical collections as necessary. • Maintain accurate records of all billing transactions and communications with insurance companies and patients. • Collaborate with healthcare providers to resolve any discrepancies in billing or coding. • Stay updated on changes in medical billing regulations, coding practices, and insurance policies. • Utilize medical office systems and hospital EHRs to manage billing processes and maintain patient confidentiality. • Prepare for and respond to payer or government audits related to radiology services. • Track and analyze key performance indicators (KPIs) such as denial rates and days in accounts receivable. • Support contract negotiations as necessary and manage appeals and denials.

🎯 Requirements

• Proven experience in medical billing and coding, or a related field is preferred. • Strong knowledge of medical terminology, DRG (Diagnosis Related Group), and various coding systems (ICD-10, ICD-9, CPT, HCPCS). • Familiarity with both hospital (inpatient) and outpatient records management and the healthcare reimbursement process. • Excellent attention to detail with strong organizational skills. • Ability to communicate effectively with healthcare professionals, insurance representatives, and patients. • Proficient in using medical office software, hospital EHRs, and billing systems. • Certification in medical billing or coding is a plus but not required; advanced certifications or specialty credentials in radiology coding are highly desirable. • Knowledge of HIPAA compliance, fraud prevention, and audit readiness.

🏖️ Benefits

• Dental insurance • Health insurance • Paid time off • Vision insurance