Certified Medical Biller/Coder & Revenue Cycle Manager
Focus Clinic is seeking a part-time Certified Medical Biller/Coder and Credentialing Specialist to own revenue cycle operations as the clinic grows. This role combines medical coding, billing, accounts receivable management, denials and appeals follow-up, patient financial communication, front-desk support, and optional provider credentialing/enrollment work.
The position is mission-driven and highly collaborative, supporting accurate claims submission, strong cash flow, compliance, and a positive patient financial experience.
Key responsibilities include:
- Assign CPT, ICD-10-CM, HCPCS, and modifier codes for clinic services
- Review documentation for coding accuracy and medical necessity support
- Manage the full claims lifecycle from charge review through resolution
- Work claims in TriZetto and support billing operations in eClinicalWorks
- Monitor denials, rejections, underpayments, and timely-filing concerns
- Manage A/R, patient balances, appeals, and collections support
- Assist front desk staff with eligibility, benefits, and patient responsibility questions
- Track revenue cycle metrics and provide updates to leadership
- Support payer audits, documentation requests, and internal compliance reviews
- Optionally handle credentialing, payer enrollment, and recredentialing activities
Required:
- AAPC CPC, AHIMA CCS, or AHIMA CCS-P certification
- Outpatient/clinic revenue cycle experience in billing, coding, A/R follow-up, and patient balances
- Strong understanding of EOBs, denials, payer rules, and patient responsibility
- Ability to communicate clearly and warmly with families about finances
- High integrity with a strong commitment to compliance and accuracy
Preferred:
- TriZetto experience
- eClinicalWorks experience
- Experience in pediatric behavioral health, testing-adjacent billing, or similarly complex outpatient services
- Process improvement mindset focused on clean claims, denial reduction, and A/R days improvement
- Credentialing experience with provider enrollment and recredentialing
Part-time schedule with flexible hours averaging 10-20 hours per week.
Additional highlights:
- Own the revenue cycle in-house
- Mission-first, faith-based culture
- Collaborative multidisciplinary team
- No outsourcing for this position
- Opportunity to work in a growing clinic environment
Location
Michigan, US
Employment Type
Part-time
Experience Level
Senior
Remote work allowed
No
Posted
2 weeks ago