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Remote Medical Coding Billing

Remote, USA Full-time Posted 2025-11-24
Position Overview We are seeking an experienced and detail-oriented Medical Coder & Biller with strong expertise in medical coding, claim denials management, and revenue cycle operations. The ideal candidate will have hands-on experience with PracticeSuite and a proven ability to manage weekly billing cycles, resolve denials efficiently, and generate performance-driven reporting. This role requires a self-starter who can work independently while collaborating closely with leadership, including the CFO, to track key revenue metrics and improve financial performance. Key Responsibilities Medical Coding & Claim Submission • Accurately assign ICD-10-CM, CPT, and HCPCS codes based on provider documentation • Prepare, review, and submit clean claims through PracticeSuite • Ensure compliance with CMS regulations and payer-specific guidelines • Maintain high first-pass claim acceptance rates Denials Management • Identify, analyze, and resolve claim denials and rejections • Correct coding, eligibility, authorization, and demographic errors • Prepare and submit timely appeals with supporting documentation • Track denial trends and recommend process improvements to reduce recurrence Payment Posting & Accounts Receivable (A/R) Follow-Up • Accurately post insurance and patient payments (EOBs and ERAs) in PracticeSuite • Review and resolve underpayments and payment discrepancies • Follow up with payers on unpaid or underpaid claims • Maintain organized and audit-ready billing documentation Reporting & Revenue Analytics • Generate weekly billing, A/R, and denial reports from PracticeSuite • Track and report on key performance indicators (KPIs), including: • * Claim acceptance rate • Denial rate by payer and denial reason • Days in A/R • Outstanding balances • Clearly communicate findings and recommendations to leadership and internal stakeholders Collaboration & Process Improvement • Work closely with providers and internal teams to resolve documentation and billing issues • Provide feedback to improve documentation accuracy and claim submission quality • Participate in process optimization initiatives to strengthen revenue cycle performance Required Qualifications • 3–4 years of medical billing and coding experience • Proven experience managing claim denials and appeals • Coding certification (CPC, CCS, or equivalent) preferred but not required • Strong knowledge of ICD-10, CPT, and HCPCS coding systems • Experience working with Medicare, Medicaid, and commercial payers • Ability to generate and explain weekly billing and denial reports • Strong attention to detail and time management skills • Ability to work independently with minimal supervision Preferred Qualifications • Experience with family practice, outpatient, or hospital-based billing • Familiarity with payer portals and clearinghouses • Hands-on experience with PracticeSuite Schedule & Expectations • 30 hours per week • Consistent availability during standard U.S. business hours • Ability to meet weekly billing cycles and reporting deadlines • Strong productivity and accountability standards Work Authorization & Location Requirement • Applicants must be legally authorized to work in the United States • This position does not offer visa sponsorship or transfer • Candidate must reside and perform work within the United States Job Types: Full-time, Part-time Pay: $30.00 - $35.00 per hour Work Location: Remote Apply tot his job Apply To this Job

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