Woodlands Primary Healthcare is seeking an experienced Medical Biller and Coder to join a growing family medicine practice.
This role supports medical billing, coding, revenue cycle management, claims submission, accounts receivable follow-up, and compliance in a family or internal medicine setting.
The position is in-person or hybrid. Candidates must live within a reasonable commuting distance of The Woodlands, TX. Fully remote candidates will not be considered.
Key Responsibilities
- Accurately code diagnoses, procedures, and visit documentation using ICD-10, CPT, and HCPCS coding systems
- Review and audit daily charts to ensure complete, accurate, and compliant coding
- Prepare and submit insurance claims to payers in a timely and compliant manner
- Monitor and manage accounts receivable, including follow-ups on unpaid claims, rejections, and denials
- Investigate and resolve billing discrepancies with insurance providers
- Communicate with the clinical team to clarify coding and documentation requirements
- Maintain comprehensive and confidential patient records in accordance with HIPAA guidelines
- Support revenue cycle processes to maximize reimbursements
Requirements & Qualifications
Required Qualifications
- Minimum 3–5 years of hands-on experience in medical billing and coding, specifically in family or internal medicine
- Strong knowledge of ICD-10, CPT, and HCPCS coding systems
- eClinicalWorks (eCW) experience required; candidate must specify when it was last used and in what capacity
- Familiarity with Trizetto (Gateway EDI) for claims submission and clearinghouse management
- Experience with Availity for eligibility verification, claim status, and ERA/EOB retrieval
- Comprehensive understanding of medical terminology and billing regulations
- Full availability Monday through Friday, 8:00 AM–5:00 PM CST
- Must reside within a reasonable commuting distance of The Woodlands, TX
- High school diploma or equivalent required; associate's degree preferred
Preferred Qualifications
- CPC, CCA, CCS, or equivalent certification
- Experience coding mammogram and/or ultrasound procedures
- Experience with Remote Patient Monitoring (RPM) billing
- Prior experience handling accounts receivable follow-ups and denial management
- Familiarity with HEDIS quality measures and documentation standards
Skills & Competencies
- Exceptional attention to detail and organizational skills
- Strong written and verbal communication skills
- Excellent computer literacy and technical proficiency
- Ability to work independently and collaboratively within a clinical team
- Strong problem-solving skills with a proactive approach
- Ability to multitask effectively in a fast-paced environment
Benefits & Perks
Benefits
- 401(k)
- 401(k) matching
- Bonus based on performance
- Competitive salary
- Employee discounts
- Health insurance
- Paid time off
Location
Texas, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 week ago