About the Role
The individual in this role will be responsible for translating medical services into accurate billing codes, submitting claims, and resolving discrepancies to support efficient revenue processing.
Responsibilities
- Translate medical procedures into standardized billing codes
- Prepare and submit insurance claims for processing
- Verify coding accuracy in alignment with healthcare guidelines
- Communicate with providers to clarify documentation
- Resolve claim denials and coding inconsistencies
- Maintain compliance with HIPAA and other regulatory standards
- Update coding databases with current medical terminology
- Review patient records for complete billing information
- Support audits by providing accurate coding records
- Collaborate with billing teams to streamline workflows
- Monitor claim status and follow up on delays
- Ensure timely submission of all billing documents
- Identify discrepancies in medical documentation
- Apply ICD-10, CPT, and HCPCS coding systems correctly
- Assist in training team members on coding updates
Nice to Have
- Experience in outpatient or physician practice settings
- Background in specialty-specific coding (e.g., orthopedics, cardiology)
- Familiarity with Medicare and Medicaid billing rules
- Prior work with audit preparation and documentation
- Exposure to revenue cycle management systems
Compensation
Competitive hourly rate based on experience
Work Arrangement
Remote position with flexible scheduling options
Team
Collaborative environment within a healthcare services division
Application Process
- Interested candidates should submit a resume and certification documentation.
- Shortlisted applicants will be contacted for a coding assessment and interview.
Work Environment
- Fully remote role with asynchronous collaboration tools.
- Regular virtual check-ins with team leads and support staff.
Not available for this role
