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

Skills Required