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 (A/R), including follow-ups on unpaid claims, rejections, and denials
Investigate and resolve billing discrepancies with insurance providers
Communicate effectively 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

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 is required — please specify when you last used it 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
High school diploma or equivalent required; Associate's degree preferred

Medical Biller – Coder

Key skills