Why This Role Exists
This role requires the next hire to ensure accurate, compliant billing and coding processes that maximize revenue, reduce denials, and accelerate cash flow.
What You’ll Be Responsible For
- Reviewing and coding medical records accurately (CPT, ICD-10)
- Submitting clean claims and resolving denials
- Monitoring accounts receivable and following up on unpaid claims
- Ensuring compliance with payer and regulatory requirements
- Identifying and fixing revenue leakage issues
What You’ve Done Before
- Managed end-to-end medical billing and coding processes
- Reduced claim denials and improved reimbursement rates
- Worked with billing systems, clearinghouses, and payer portals
- Maintained compliance with HIPAA and billing regulations
Who You Are
- Have medical coding certifications such as CPC, CCS, CCA
- Detail-obsessed and accuracy-driven
- Analytical and solutions-oriented
- Proactive in identifying issues and fixing them
- Accountable for revenue outcomes, not just task completion
What Success Looks Like
- 98%+ clean claim rate on first submission
- 25%+ reduction in claim denials
- 99%+ coding accuracy
- 20%+ reduction in days in A/R
Requirements
What You Need To Have
- Proven experience in medical billing and coding
- Strong knowledge of CPT, ICD-10, and billing practices
- Experience with EHR/EMR and billing platforms
- Understanding of insurance and claims processes
Who This Is NOT For
- Individuals who prioritize speed over accuracy
- Those unfamiliar with compliance and billing standards
- Candidates who prefer repetitive tasks without problem-solving
Minimum Technical and Work Environment Requirements:
- Internet Connection:
- Primary internet connection with a minimum speed of 15 Mbps.
- Backup internet connection with at least 10 Mbps.
- Backup connection must be capable of supporting work during a power outage.
- Primary Device:
- Desktop or laptop equipped with at least:
- Intel Core i5 (8th generation or newer), Intel Core i3 (10th generation or newer), AMD Ryzen 5, or an equivalent processor.
- A minimum of 8 GB RAM.
- Backup Device:
- Must meet or exceed the performance of an Intel Core i3 processor.
- Must be functional during power interruptions.
- Peripherals and Workspace:
- A functioning webcam.
- A noise-canceling USB headset.
- A quiet, dedicated home office space.
- A smartphone for communication and verification purposes.
Benefits
- Join Our Dynamic Team: Experience our fun, inclusive, innovative culture that values your unique contributions and supports your professional growth.
- Embrace the Opportunities: Seize daily chances to learn, innovate, and excel. Make a real impact in your field.
- Limitless Career Growth: Unlock a world of possibilities and resources to propel your career forward.
- Fast-Paced Thrills: Thrive in a high-energy, engaging atmosphere. Embrace challenges and reap stimulating rewards.
- Flexibility, Your Way: Embrace the freedom to work from home or any location of your choice. Create your ideal work environment.
- Work-Life Balance at Its Best: Say goodbye to stressful commutes and hello to quality time with loved ones. Achieve a healthy work-life integration to perform at your best.