Coding and Billing Coordinator Job Description [Updated for 2025]

In the era of digital healthcare, the significance of Coding and Billing Coordinators is increasingly paramount.

As healthcare systems become more complex, there’s a growing demand for professionals who can navigate, optimize, and protect our medical coding and billing processes.

But let’s delve deeper: What’s truly expected from a Coding and Billing Coordinator?

Whether you are:

• A job seeker looking to understand the core of this role,
• A hiring manager outlining the perfect candidate,
• Or simply fascinated by the intricacies of medical coding and billing,

You’ve come to the right place.

Today, we present a versatile Coding and Billing Coordinator job description template, designed for effortless posting on job boards or career sites.

Let’s dive right in.

Coding and Billing Coordinator Duties and Responsibilities

The Coding and Billing Coordinator is responsible for the accurate and timely coding and billing of health care claims.

They also coordinate with various departments to ensure that the organization’s financial operations are running smoothly.

The key duties and responsibilities include:

• Reviewing patient medical records and assigning appropriate codes for diagnoses and procedures
• Submitting claims to insurance companies and following up on any denied or unpaid claims
• Interacting with providers and other medical professionals to clarify diagnoses or to obtain additional information
• Processing payments from patients and insurance companies
• Maintaining up-to-date knowledge on coding guidelines and reimbursement reporting requirements
• Resolving patient complaints regarding billing and collection activities
• Ensuring compliance with medical coding policies and guidelines to avoid legal issues
• Preparing, reviewing, and transmitting claims using billing software
• Managing the department’s reporting system and producing reports to monitor key performance indicators
• Providing training to staff members about the billing and coding process

 

Coding and Billing Coordinator Job Description Template

Job Brief

We are seeking a highly organized and detail-oriented Coding and Billing Coordinator to manage our medical coding and billing operations.

The role involves deciphering patient charts to assign appropriate medical codes for billing insurance companies, coordinating with insurance agencies for claim resolution and ensuring the company’s revenue cycle runs efficiently.

Our ideal candidate has a solid understanding of medical terminology, CPT, ICD-10 codes, and healthcare billing procedures.

The role requires strong communication skills and proficiency in billing software.

 

Responsibilities

• Interpret medical charts and assign appropriate codes for patient diagnosis and treatment
• Submit medical claims to insurance companies
• Follow up on rejected or denied claims
• Communicate with healthcare providers and patients to clarify diagnoses or to obtain additional information
• Perform regular audits to ensure billing accuracy
• Stay updated with latest changes in coding standards and billing regulations
• Prepare and present reports on billing activities
• Resolve any patient inquiries regarding billing

 

Qualifications

• Proven work experience as a medical billing and coding specialist
• Knowledge of medical terminology, CPT and ICD-10 coding
• Experience with medical billing software
• Strong organizational and multitasking skills
• Ability to handle confidential information
• Certification in medical coding (CPC, CCS, RHIA, or equivalent) is preferred
• High school diploma required; Associate’s or Bachelor’s degree in medical billing and coding, healthcare administration or related field preferred

 

Benefits

• 401(k)
• Health insurance
• Dental insurance
• Retirement plan
• Paid time off
• Professional development opportunities

 

Additional Information

• Job Title: Coding and Billing Coordinator
• Work Environment: Office setting within a healthcare facility. Some travel may be required for training or conferences.
• Reporting Structure: Reports to the Billing Manager or Administrator.
• Salary: Salary is based upon candidate experience and qualifications, as well as market and business considerations.
• Pay Range: $40,000 minimum to $65,000 maximum
• Location: [City, State] (specify the location or indicate if remote)
• Employment Type: Full-time
• Equal Opportunity Statement: We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
• Application Instructions: Please submit your resume and a cover letter outlining your qualifications and experience to [email address or application portal].

 

What Does a Coding and Billing Coordinator Do?

Coding and Billing Coordinators are typically employed in the healthcare industry and are responsible for managing and coordinating medical billing and coding functions.

They ensure that all patient services are accurately coded for reimbursement, following the coding guidelines set by the healthcare facility as well as state and federal laws.

Their main task includes reviewing medical records and liaising with medical professionals to accurately code procedures and diagnoses using the appropriate medical coding system.

They are also responsible for submitting these coded bills to insurance companies on behalf of the healthcare facility.

Coding and Billing Coordinators also handle payment discrepancies, denials, or unpaid claims by communicating with insurance companies.

They may also have to explain to patients about their insurance coverage or billing procedures.

They must stay up-to-date with the latest changes in coding guidelines and insurance regulations.

This role requires precision, a keen eye for detail, and excellent knowledge of medical terminology, medical coding and billing processes.

 

Coding and Billing Coordinator Qualifications and Skills

A successful Coding and Billing Coordinator should possess the following qualifications and skills:

• Knowledge of coding guidelines and regulatory requirements for medical billing and coding.
• Experience with medical billing software and electronic health record systems to accurately input and process patient information.
• Attention to detail to ensure all billing and coding is accurate, reducing the risk of errors that could lead to insurance claim denials.
• Excellent organizational skills to manage a large number of patient records, insurance claims, and payments.
• Strong communication skills to liaise with healthcare providers, insurance companies, and patients regarding billing and coding matters.
• Problem-solving skills to identify and resolve issues with billing and coding, insurance claims, and payments.
• Ability to maintain patient confidentiality in accordance with Health Insurance Portability and Accountability Act (HIPAA) guidelines.
• Up-to-date knowledge of the latest updates in medical billing and coding standards and insurance policies.
• Customer service skills to deal with patients’ inquiries about billing and insurance in a courteous and professional manner.

 

Coding and Billing Coordinator Experience Requirements

For entry-level Coding and Billing Coordinator positions, candidates typically need at least 1-2 years of experience in medical coding or a related field.

This could be acquired through an internship, part-time role, or even through relevant coursework in a medical billing and coding program.

Candidates who have 2-3 years of experience in the field are usually well-versed in healthcare reimbursement methodologies, medical terminology, and coding systems like ICD-10 and CPT.

They are expected to have hands-on experience with billing software and electronic health records systems.

Those with more than 3-5 years of experience in medical coding and billing are often considered for senior roles.

These professionals may have a comprehensive understanding of insurance claim procedures, extensive knowledge of federal and state regulations related to medical coding, and experience in auditing patient accounts and resolving billing discrepancies.

Candidates with over 5 years of experience often possess leadership skills and could be considered for managerial roles.

They might have experience training and supervising junior coding and billing staff, as well as experience in managing the revenue cycle process and developing policies and procedures to improve coding and billing efficiency.

Some employers might also require these candidates to have specific certifications, such as Certified Professional Coder (CPC) or Certified Coding Specialist (CCS).

 

Coding and Billing Coordinator Education and Training Requirements

Coding and Billing Coordinators typically require a high school diploma or equivalent.

Many employers prefer candidates with an associate’s degree or certificate in medical billing and coding, health information technology, or a similar field.

In these programs, students learn about medical terminology, anatomy and physiology, health data requirements and standards, classification and coding systems, healthcare reimbursement methods, and more.

On-the-job training is also common in this field, allowing professionals to gain first-hand experience under the supervision of experienced coordinators.

Moreover, certification from a professional coding and billing organization, such as the American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA), is often preferred or sometimes required by employers.

These certifications validate a professional’s expertise in the field and can increase job prospects.

Additionally, due to the rapidly changing nature of healthcare laws and technology, coding and billing coordinators often participate in continuing education and professional development courses to stay updated.

 

Coding and Billing Coordinator Salary Expectations

The average salary for a Coding and Billing Coordinator is $42,630 (USD) per year.

However, this figure can vary based on factors such as experience, certifications, the size of the organization, and the region in which they are working.

 

Coding and Billing Coordinator Job Description FAQs

What skills does a Coding and Billing Coordinator need?

Coding and Billing Coordinators need a good understanding of medical terminology, anatomy, and physiology to accurately code diagnoses and procedures.

They must be detail-oriented to ensure accurate record keeping and have strong organizational skills to manage a large number of medical records.

Basic computer and typing skills are also necessary, as is a solid understanding of billing software and databases.

They should also have good communication skills to interact with medical professionals and insurance companies.

 

Do Coding and Billing Coordinators need a degree?

Typically, Coding and Billing Coordinators do not need a specific degree, but they do need a postsecondary certificate in medical coding and billing.

There are also associate and bachelor’s degree programs in health information management that include coursework in medical coding and billing.

Additionally, employers often prefer candidates who have professional certification, such as the Certified Professional Coder (CPC) credential.

 

What should you look for in a Coding and Billing Coordinator resume?

A Coding and Billing Coordinator’s resume should include their education and certifications, as well as a strong background in medical coding and billing.

They should also have experience with electronic health records (EHR) systems and medical billing software.

Look for candidates who demonstrate attention to detail, organizational skills, and familiarity with medical terminology and procedures.

 

What qualities make a good Coding and Billing Coordinator?

A good Coding and Billing Coordinator is meticulous and detail-oriented, ensuring that all coding and billing are accurate and up-to-date.

They are highly organized and can manage a large volume of information efficiently.

Good communication skills are also essential, as they often need to interact with healthcare providers, patients, and insurance companies.

Additionally, a good Coding and Billing Coordinator is committed to staying current on changes to coding systems and billing regulations.

 

What are the daily duties of a Coding and Billing Coordinator?

On a typical day, a Coding and Billing Coordinator will review patient charts and translate medical procedures and diagnoses into coded information.

They will also prepare and submit claims to insurance companies, answer any queries from insurance companies or healthcare providers, and manage patient billing.

They may also be responsible for maintaining the accuracy and security of patient records, as well as staying up-to-date with coding changes and healthcare regulations.

 

Conclusion

And so, we’ve laid it bare.

Today, we’ve unraveled the intricacies of being a Coding and Billing Coordinator.

Surprised?

It’s not just about number crunching.

It’s about shaping the financial landscape of healthcare, one billing code at a time.

With our definitive Coding and Billing Coordinator job description template and tangible examples, you’re primed to make your mark.

But why stop now?

Dig deeper with our job description generator. It’s your partner in creating spot-on job listings or refining your resume to unmatched precision.

Don’t forget:

Every billing code contributes to the larger framework.

Let’s shape that future. Together.

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