Medical Coder and Biller

Responsibilities

• Accurately code office visits, procedures, and diagnoses using current ICD-10, CPT, and HCPCS guidelines
• Prepare and submit claims to commercial insurance, Medicare, Medicaid, and other payers
• Review claims for accuracy and appropriate documentation prior to submission
• Review EOBs/ERAs and identify payment discrepancies
• Work rejected and denied claims and submit corrected claims or appeals as needed
• Follow up on outstanding insurance accounts receivable
• Verify insurance coverage and benefits when necessary
• Identify coding, documentation, or billing issues that may delay or reduce reimbursement
• Communicate with providers and staff regarding documentation and coding questions
• Assist with patient billing questions and account balances
• Maintain accurate and confidential patient and billing records
• Stay current with payer requirements and coding changes
• Help improve billing processes and keep accounts receivable organized and up to date

Qualifications

• Previous medical billing and/or coding experience required
• Experience in family medicine, primary care, or an outpatient physician practice preferred
• Strong knowledge of ICD-10, CPT, HCPCS, insurance billing, and claims processing
• Experience working denials, rejected claims, and accounts receivable
• Familiarity with Medicare, Medicaid, and commercial insurance requirements
• Strong attention to detail and ability to identify billing or coding errors
• Comfortable communicating with insurance companies, patients, providers, and coworkers
• Able to work independently, prioritize tasks, and follow issues through to resolution
• Dependable, professional, and committed to protecting patient confidentiality
• CPC, CCS, CCA, or other coding/billing certification, or equivalent experience

Benefits

• 401(k) matching
• Employee discount
• Flexible schedule
• Hybrid work arrangement

Health insurance benefits are not offered with this position.