Coder/Biller

This is a remote position

We are seeking a highly skilled and experienced Medical Coder and Biller Expert to join our team. In this role, you will work with a diverse range of projects, providing expertise in medical coding, billing, and revenue cycle management. You will be responsible for various projects that may include payer reviews, working accounts receivable (AR), and claims edits. The ideal candidate is detail-oriented, has a deep understanding of medical coding guidelines and billing processes, and is adept at navigating different payer requirements and healthcare systems.

Job Skills:

• Comprehensive knowledge of revenue cycle management within the healthcare industry
• Experience in coding, auditing, compliance, and reimbursement for physician practices, including CPT, HCPCS, and ICD-10
• Coding experience across multiple specialties
• Knowledge of AMA, OIG, CMS and other national coding and compliance guidelines
• Proven ability to manage multiple projects simultaneously
• Exceptional written and verbal communication skills.
• Meticulous attention to detail and strong adherence to deadlines
• Ability to think critically and identify optimal solutions for tasks
• Capacity to multitask with a strong sense of urgency
• Strong organizational skills and work ethic
• Proficient in Windows, Excel, Word, and PowerPoint
• Able to sit and use a keyboard and mouse for extended periods
• Consistently meet and maintain department production and quality standards

• Accurately review medical records to ensure accuracy of ICD-10, CPT, and HCPCS codes, ensuring compliance with applicable guidelines
• Manage billing for multiple medical specialties
• Review, edit, and process claims to ensure accuracy and compliance with payer requirements.
• Resolve claim denials and rejections in a timely manner.
• Support clients in managing their revenue cycle, from coding and billing to AR follow-up and reimbursement
• Conduct audits and manage payer payback projects, ensuring compliance and proper documentation
• Meet production and quality benchmarks
• Prepare coding reports and audit summaries, providing recommendations based on findings
• Prepare oral and/or written reports of work activity to Supervisor
• Maintain confidentiality, integrity, and availability of protected health information, adhering to HIPAA security policies. Report any suspected or actual violations
• Perform other duties as assigned

• • 5+ years of experience in medical coding and billing for professional services, with a focus on revenue cycle management.
• • Strong written and verbal communication skills.
• • Ability to manage and “own” entire projects.
• • Meticulous attention to detail and a strong sense of deadlines.
• • Critical thinking and problem-solving skills.
• • Proficiency with Excel, Word, and internet tools.
• • Strong multitasking abilities with a sense of urgency.
• • Excellent customer service skills.
• • Strong time management, organizational skills, and a solid work ethic.

• CPC
• CPB

AAPC Attributes:

DRIVEN | Self-starts and stays highly motivated to achieve ambitious goals. Shares contagious energy and enthusiasm liberally. Takes initiative without always being directed. Demonstrates confidence in decision-making and effectively balances autonomy and authority with accountability.

HUMBLE | Learns, adapts, and improves relentlessly. Seeks feedback without insecurity and implements coaching. Recognizes others' contributions gratefully. Approaches work and relationships with an abundance mentality. Places the needs of others above self.

TRANSPARENT| Integrity-centered, honest, truthful, and trustworthy in all aspects of work. Keeps commitments to external and internal parties. Holds self strictly accountable, valuing the trust placed in them by others.

SUPPORTIVE | Empowers and uplifts others. Listens actively and responds with empathy and understanding. Prioritizes well-being and growth of team members and customers ahead of own interest. Faces challenges together, believing in collective strength and unity.

INNOVATIVE | Entrepreneurial spirit with a scrappy mentality. Dreams big, sees opportunity, pursues full potential, and finds ways to accomplish the impossible. Rolls up sleeves and does real work. Works quickly, intelligently, and flexibly.

AAPC is an Equal Opportunity Employer. This company does not and will not discriminate in employment and personnel practices on the basis of race, sex, age, handicap, religion, national origin or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above listed items.

We are an Equal Opportunity Employer. This company does not and will not discriminate in employment and personnel practices on the basis of race, sex, age, disability, religion, national origin, or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above-listed items.

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