Medical Biller and Coder

Key responsibilities

• Review patient claims for accuracy and completeness, and obtain missing payer information as needed
• Appeal medical insurance claim denials in a timely manner
• Ensure compliance with procedures and coding guidelines
• Answer patient inquiries related to coverage denials and coding reviews for resubmissions
• Communicate with clinical leadership and the third-party billing company regarding CPT and ICD-10 coding selections

Qualifications

• Excellent verbal and written communication skills
• Strong organizational skills and attention to detail
• Superior time management and ability to meet deadlines
• Knowledge of CPT and ICD-10 codes
• Ability to identify coding trends and areas of risk
• Proficiency with Google Workspace, Microsoft Office Suite, or similar software
• Associate degree in business, finance, health administration, or a related field preferred
• Certified Professional Coder (CPC) required
• 5+ years of experience in a primary care clinic setting preferred
• At least 5 years of related experience in accounts receivable billing, insurance, or customer service in a medical office, hospital, or call center environment
• Mental/behavioral health experience is a plus

• Flexible paid time off, sick leave, and 12 statutory holidays
• Medical, dental, vision, disability, and life insurance
• Mental health programs and an Employee Assistance Program (EAP)
• 401(k) plan with company match
• Annual reimbursement for eligible training and professional programs