Under the supervision of the Revenue Cycle Supervisor, this role supports revenue cycle operations with a focus on coding and charge review, timely claim submission, claim follow-up, denial appeals, cash posting, and billing support.
The position reviews clinical documentation to assign appropriate ICD-10, CPT, HCPCS, and other applicable codes, ensuring coding accuracy, compliance, and alignment with services rendered. It also works with providers and internal teams to resolve discrepancies, support documentation improvement, and serve as a resource for coding and revenue cycle processes.
This is a hybrid role. The candidate must live in the greater Austin/Travis County area and be able to work both onsite and offsite based on business needs.
Essential responsibilities
- Ensure accurate and timely billing and collection of medical claims.
- Conduct chart reviews and correct coding to maintain compliance with governmental and contractual requirements.
- Train providers on documentation and coding practices in coordination with leadership and compliance.
- Perform charge review, claim edits, and timely CPT/ICD coding for provider charges.
- Clear coding edits generated by EMR/PM systems.
- Support insurance verification, aging account resolution, patient complaints, and customer service inquiries.
- Process insurance payments, reconcile deposits, post payments and recoupments, and manage patient accounts.
- Resolve remittance posting issues to ensure proper work queue routing and accurate revenue reporting.
- Answer and resolve patient inquiries from internal and external sources.
- Serve as an intermediary between healthcare providers, patients, health plans, and other stakeholders.
Required qualifications
- High school diploma.
- 4 years of experience in medical coding, medical auditing, or billing in a multi-specialty outpatient/professional billing setting.
- Knowledge of revenue cycle, billing, and collections processes.
- Experience with Epic or other medical billing software.
- Knowledge of ICD-10, CPT, and HCPCS coding.
- Understanding of Medicare, Medicaid, and third-party payer guidelines.
- Familiarity with billing and coding policies, procedures, rules, and regulations.
- Strong attention to detail and accuracy.
- Excellent verbal and written communication skills.
- Strong customer service and relationship-building skills.
- Proficiency with Microsoft Office Suite, EMR, or practice management systems.
- Ability to multitask.
Required certifications
- Certified Coding Specialist (CCS) through AHIMA, or
- Certified Coding Specialist–Physician (CCS-P) through AHIMA, or
- Certified Professional Coder (CPC) through AAPC.
Location
Austin, Texas, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
2 weeks ago