Position Type: Full-Time
Pay Rate: Starting at $18 and varies by experience

Position Overview

We are seeking an experienced, detail-oriented, and highly motivated Certified Medical Biller and Coder to join our growing healthcare team. In this role, you will manage the full revenue cycle, ensuring accurate coding, timely claim submission, proactive denial resolution, and maximum reimbursement. The ideal candidate will possess strong analytical skills, extensive billing and coding knowledge, and the confidence to effectively communicate with insurance carriers and patients.

Key Responsibilities

Coding & Charge Entry

• Review clinical documentation and accurately assign ICD-10-CM, CPT, and HCPCS codes.
  

• Enter charges for daily patient encounters while ensuring coding accuracy and compliance.

Claims Management

• Prepare, review, scrub, and submit electronic and paper claims to commercial insurance carriers, Medicare, and Medicaid.
  

• Ensure claims are complete and compliant prior to submission.

Denial Management & Appeals

• Investigate denied or underpaid claims and identify root causes.
  

• Research payer policies and submit appeals to maximize reimbursement.
  

• Maintain detailed records of claim status and appeal outcomes.

Accounts Receivable Management

• Monitor aging reports and prioritize follow-up activities.
  

• Resolve outstanding insurance and patient balances in a timely manner.
  

• Track and report revenue cycle performance metrics.

Payer & Patient Communication

• Communicate professionally with insurance representatives regarding claim issues, credentialing, contracts, and payment disputes.
  

• Assist patients with billing inquiries and payment-related concerns.

Compliance & Documentation

• Maintain compliance with HIPAA regulations and industry billing standards.
  

• Stay current on Medicare, Medicaid, LCD/NCD guidelines, and payer-specific requirements.

Qualifications

• Active coding certification through AAPC or AHIMA (CPC, CCS, COC, or equivalent) required.
  

• Minimum 2–3 years of medical billing and coding experience required.
  

• Experience in a private practice or multi-specialty environment preferred.
  

• Proficiency with EHR systems and medical billing software.
  

• Strong understanding of medical terminology, anatomy, CPT, ICD-10, HCPCS coding, and CCI edits.
  

• Experience generating financial reports and monitoring revenue cycle metrics is preferred.

Desired Skills

• Exceptional attention to detail and organizational skills.
  

• Strong analytical and problem-solving abilities.
  

• Ability to work independently and collaboratively.
  

• Professional and assertive communication skills.
  

• Commitment to accuracy, compliance, and continuous improvement.

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