Medical Biller & Coder

Job Description:

Overview
We are seeking a certified and detail-oriented Remote Medical Biller and Coder to

join our growing RCM team. The ideal candidate should have 2 to 4 years of hands-
on experience in medical billing and coding, including working knowledge of ICD-10,

CPT, and HCPCS coding systems. You will be responsible for reviewing medical
records, coding services, submitting claims on timely manner, and managing
denials—all from a secure remote setup. You will play crucial role in maintaining the
financial health of our practice while providing excellent service to patients and
insurance providers.
Job Responsibilities – Medical Biller and Coder
• Assign accurate ICD-10, CPT, and HCPCS codes to diagnoses and
procedures based on thorough analysis of medical documentation.
• Submit timely and compliant electronic and paper claims to Medicare,
Medicaid, and commercial insurance carriers.
• Identify and process billing for secondary and tertiary insurances to ensure
complete reimbursement.
• Monitor and resolve denied or rejected claims, including preparing and
submitting appeals as necessary.
• Post and reconcile payments from insurance payers and patients, maintaining
accurate financial records.
• Conduct routine internal audits to ensure accuracy in coding and billing, and
adherence to payer and regulatory guidelines.
• Obtain, verify, and maintain up-to-date patient demographic and insurance
information in the billing system.
• Respond promptly to insurance documentation requests and follow up to
ensure claim resolution.
• Generate and review monthly accounts receivable (A/R) reports; pursue
outstanding claims aged over 60 days.
• Investigate and resolve discrepancies related to insurance billing, coding, or
reimbursement.
• Maintain accurate, organized, and HIPAA-compliant documentation for all
billing and coding activities.
• Log all billing actions and communications clearly and concisely within the
system to support transparency and audit readiness.
• Collaborate with healthcare providers and administrative staff to clarify clinical
documentation and ensure correct billing practices.
• Remain current on industry updates, including changes to coding regulations,
payer guidelines, and HIPAA standards.

• Attend quarterly in-person review meetings to discuss performance
metrics, compliance updates, and process improvement initiatives.
• Maintain high levels of accuracy and efficiency while working in a remote,
HIPAA-compliant environment.
Qualification:
• Bachelor’s Degree required.
• Fluent in English with strong verbal and written communication skills.
• Excellent organizational and time-management abilities.
• Prior experience working with physical therapy (PT), occupational therapy
(OT), behavioral therapy, primary care providers (PCP), ophthalmology, and
non-emergency medical transportation (NEMT) billing preferred.
• Familiarity with medical billing and coding practices within these specialties is
highly desirable.
• Ability to accurately interpret and process medical documentation related to
multiple therapy disciplines and specialized care.
• Strong attention to detail and commitment to maintaining compliance with
healthcare regulations.
Job Type: Full-time
Benefits:
• Commuter assistance
• Work from home