Medical Biller & Coder

Woodlands Primary Healthcare is seeking an experienced Medical Biller and Coder to join our growing family medicine practice. This position requires expertise in medical billing, coding, revenue cycle management, and a strong background in family or internal medicine.

Key responsibilities include accurately coding diagnoses, procedures, and visit documentation using ICD-10, CPT, and HCPCS coding systems; reviewing and auditing daily charts for accuracy and compliance; preparing and submitting insurance claims timely and compliant; managing accounts receivable including follow-ups on unpaid claims, rejections, and denials; resolving billing discrepancies with insurance providers; communicating with the clinical team to clarify coding and documentation requirements; maintaining confidential patient records in compliance with HIPAA guidelines; supporting revenue cycle processes to maximize reimbursements.

Candidates must reside within reasonable commuting distance of The Woodlands, TX. Fully remote candidates will not be considered. Flexible work from home options are available in a hybrid setting.

Required qualifications include minimum 3–5 years of hands-on medical billing and coding experience specifically in family or internal medicine, strong knowledge of ICD-10, CPT, HCPCS, eClinicalWorks (eCW) experience, familiarity with Trizetto (Gateway EDI) and Availity platforms, comprehensive understanding of medical terminology and billing regulations, and availability Monday through Friday 8:00 AM – 5:00 PM CST. High school diploma or equivalent required; Associate's degree preferred.

Preferred qualifications are CPC, CCA, CCS certification or equivalent, experience coding mammogram and/or ultrasound procedures, experience with Remote Patient Monitoring (RPM) billing, prior A/R follow-up and denial management, and familiarity with HEDIS quality measures.