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Remote Medical Billing / Coding Specialist
About the position
We are hiring a Medical Billing / Coding Specialist with hands-on experience in revenue cycle management (RCM) and US healthcare billing processes. You must understand the end-to-end medical billing workflow (charge entry → claim submission → payment posting → denial management), medical coding standards (ICD-10, CPT, HCPCS), insurance claim lifecycle and payer guidelines, compliance requirements (HIPAA and documentation standards), and the use of billing software and EHR/EMR systems. This role is execution-focused, and we are not hiring theory-only profiles.
Responsibilities
- Perform accurate medical coding using ICD-10, CPT, and HCPCS codes
- Handle charge entry, claim submission, and follow-ups with insurance companies
- Review and resolve denied or rejected claims
- Ensure proper documentation and compliance with healthcare regulations
- Post payments and reconcile accounts
- Maintain billing records and ensure data accuracy
- Coordinate with providers, payers, and internal teams
- Use tools/automation to improve turnaround time and reduce errors
Requirements
- 1–3 years of hands-on experience in medical billing and/or coding
- Strong knowledge of ICD-10, CPT, and HCPCS coding systems
- Experience with US healthcare billing and insurance processes
- Familiarity with EHR/EMR and billing software
- Understanding of denial management and AR follow-ups
- High attention to detail and accuracy
- Strong analytical and problem-solving skills
Nice-to-haves
- Certification (CPC, CCS, or equivalent)
- Experience with multiple specialties (e.g., radiology, cardiology, etc.)
- Knowledge of HIPAA compliance and audit processes
- Exposure to automation tools or AI-assisted coding platforms
- Experience working with US-based healthcare clients
