Remote Medical Coding Billing

Remote Full-time
Position Overview

We are seeking an experienced and detail-oriented Medical Coder & Biller with strong expertise in medical coding, claim denials management, and revenue cycle operations. The ideal candidate will have hands-on experience with PracticeSuite and a proven ability to manage weekly billing cycles, resolve denials efficiently, and generate performance-driven reporting.

This role requires a self-starter who can work independently while collaborating closely with leadership, including the CFO, to track key revenue metrics and improve financial performance.

Key Responsibilities

Medical Coding & Claim Submission
• Accurately assign ICD-10-CM, CPT, and HCPCS codes based on provider documentation
• Prepare, review, and submit clean claims through PracticeSuite
• Ensure compliance with CMS regulations and payer-specific guidelines
• Maintain high first-pass claim acceptance rates

Denials Management
• Identify, analyze, and resolve claim denials and rejections
• Correct coding, eligibility, authorization, and demographic errors
• Prepare and submit timely appeals with supporting documentation
• Track denial trends and recommend process improvements to reduce recurrence

Payment Posting & Accounts Receivable (A/R) Follow-Up
• Accurately post insurance and patient payments (EOBs and ERAs) in PracticeSuite
• Review and resolve underpayments and payment discrepancies
• Follow up with payers on unpaid or underpaid claims
• Maintain organized and audit-ready billing documentation

Reporting & Revenue Analytics
• Generate weekly billing, A/R, and denial reports from PracticeSuite
• Track and report on key performance indicators (KPIs), including:
• * Claim acceptance rate
• Denial rate by payer and denial reason
• Days in A/R
• Outstanding balances
• Clearly communicate findings and recommendations to leadership and internal stakeholders

Collaboration & Process Improvement
• Work closely with providers and internal teams to resolve documentation and billing issues
• Provide feedback to improve documentation accuracy and claim submission quality
• Participate in process optimization initiatives to strengthen revenue cycle performance

Required Qualifications
• 3–4 years of medical billing and coding experience
• Proven experience managing claim denials and appeals
• Coding certification (CPC, CCS, or equivalent) preferred but not required
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems
• Experience working with Medicare, Medicaid, and commercial payers
• Ability to generate and explain weekly billing and denial reports
• Strong attention to detail and time management skills
• Ability to work independently with minimal supervision

Preferred Qualifications
• Experience with family practice, outpatient, or hospital-based billing
• Familiarity with payer portals and clearinghouses
• Hands-on experience with PracticeSuite

Schedule & Expectations
• 30 hours per week
• Consistent availability during standard U.S. business hours
• Ability to meet weekly billing cycles and reporting deadlines
• Strong productivity and accountability standards

Work Authorization & Location Requirement
• Applicants must be legally authorized to work in the United States
• This position does not offer visa sponsorship or transfer
• Candidate must reside and perform work within the United States

Job Types: Full-time, Part-time

Pay: $30.00 - $35.00 per hour

Work Location: Remote

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