Certified Medical Coder

Job Summary

To support a large multi-specialty physician practice, the full-time Medical Billing and Coding Specialist will accurately process, review, and submit medical claims while ensuring timely reimbursement and collaborating with various stakeholders in a remote setting.

Key responsibilities

• Review and correct coding denials for resubmission to insurance carriers and resolve claim edits, denials, and rejections
• Conduct timely follow-up on unpaid or underpaid claims to ensure optimal reimbursement and maintain accounts receivable
• Collaborate with billing and clinical teams to clarify documentation or coding discrepancies and support revenue cycle projects

Required qualifications

• High school diploma or equivalent
• Minimum 10 years of medical billing experience, preferably in a multi-specialty or large physician practice setting
• Certification as a Certified Professional Coder (CPC) or similar credential is required
• Strong understanding of CPT, ICD 10, and HCPCS coding principles
• Proficiency with EMR and practice management systems