Certified Medical Coder/Biller
Job Type: Full-Time On-Site, Possible Remote
Position Summary:
We are seeking a detail-oriented, dependable, and motivated Certified Medical Coder/Biller to join our small internal medicine practice. The ideal candidate will have strong knowledge of medical coding, insurance billing, revenue cycle management. In addition to knowledge of HCC coding, quality measurement coding, hospitalist coding, evaluation & management (E&M) services, and office procedures. This individual will play a key role in ensuring accurate coding, timely claim submission, reimbursement optimization, and exceptional patient service.
Responsibilities:
· Assign accurate ICD-10-CM, CPT, and HCPCS codes for internal medicine/hospitalist and
evaluation & management (E&M) services.
· Review provider documentation to ensure coding accuracy, and compliance
with payer and regulatory guidelines.
· Submit and process insurance claims electronically.
· Follow up on unpaid, denied, and underpaid insurance claims to ensure timely
reimbursement.
· Research and resolve claim denials, payment discrepancies, and coding edits.
· Verify patient insurance eligibility, benefits, and authorization requirements.
· Process patient billing, answer billing inquiries, and assist patients with payment questions.
· Post insurance and patient payments accurately.
· Work collaboratively with providers and clinical staff to improve documentation and coding
accuracy.
· Monitor payer policy changes and maintain compliance with Medicare, Medicaid, commercial payer, HIPAA, and coding guidelines.
· Assist with revenue cycle initiatives to improve clean claim rates and reduce denials.
· Perform additional billing, coding, and administrative duties as assigned.
Qualifications:
· Certified Professional Coder (CPC), Certified Professional Biller (CPB).
· Minimum of 2 years of medical coding and billing experience (Internal medicine experience
preferred).
· Strong knowledge of ICD-10-CM, CPT, HCPCS Level II, and E&M coding guidelines.
· Experience with insurance claim submission, denial management, and accounts receivable follow-up.
· Experience with HCC coding and quality measurement coding.
· Familiarity with Medicare, Medicaid, and commercial insurance regulations.
· Proficiency with electronic health records (EHR) and practice management software.
· Excellent attention to detail, organizational skills, and problem-solving abilities.
· Strong written and verbal communication skills.
· Ability to prioritize tasks and work independently.
· Experience with hospitalist coding.
· Experience with general office procedure coding.
· Knowledge of revenue cycle management metrics and best practices.
· Experience working with multiple insurance carriers and payer portals.
Benefits:
· Paid time off.
· Paid sick time.
· Paid holidays.
· 401K with employer contributions.
· Predictable day time schedule.
· No evenings, weekends or major holidays.
· Supportive work environment.
· Opportunity to build lasting relationships with patients and be part of a close-knit healthcare team.
Our team values accuracy, integrity, continuous learning, and quality patient care. If you are passionate about medical coding, billing, revenue cycle excellence, and making a meaningful impact with our patient’s care, we'd love to hear from you.
Job Type: Full-time
Pay: $21.00 - $23.00 per hour
Benefits:
Medical Specialty:
Education:
Experience:
- Coding / Billing: 2 years (Required)
- EMR systems: 4 years (Required)
Work Location: Hybrid remote in Garden City, MI 48135
