Review clinical documentation and patient records to assign accurate ICD-10, CPT, and HCPCS codes for diagnoses, procedures, and services rendered.
Prepare and submit clean claims to Medicare, Medicaid, and commercial insurance payers, ensuring compliance with payer-specific guidelines and CMS regulations.
Work denials and rejections by investigating root causes, correcting errors, preparing appeals, and resubmitting claims in a timely manner.
Verify patient insurance eligibility, benefits, and prior authorization requirements before and after services are delivered.
Post payments, adjustments, and contractual write-offs accurately, reconciling accounts to maintain clean accounts receivable.
Collaborate with clinical teams to clarify documentation, resolve coding queries, and ensure that services are documented to the level required for proper reimbursement.
Monitor claim status, follow up on outstanding balances, and generate aging reports to identify and resolve revenue leakage.
Stay current with changes in coding guidelines, payer policies, Medicare and Medicaid regulations, and industry best practices.
Support internal audits by reviewing coded claims for accuracy, completeness, and compliance with federal and state regulations.

Based in the Philippines with a reliable high-speed internet connection and a dedicated, quiet home workspace.
At least one recognized medical billing and coding certification: CPC (Certified Professional Coder), CCS (Certified Coding Specialist), CMRS (Certified Medical Reimbursement Specialist), CPB (Certified Professional Biller), or equivalent.
Minimum of 2 years of experience in U.S. medical billing and coding, with demonstrated expertise in Medicare and Medicaid claims processing.
Proficiency with ICD-10-CM/PCS, CPT, and HCPCS Level II coding systems.
Hands-on experience with at least one major EHR and billing platform, such as Epic, Oracle Cerner, athenahealth, or eClinicalWorks.
Strong understanding of the U.S. revenue cycle, including charge capture, claims submission, denial management, payment posting, and accounts receivable follow-up.
Excellent attention to detail with a commitment to accuracy and compliance.
Strong written and verbal English communication skills.
Willingness to work U.S. business hours (schedule may vary by client time zone).

HMO coverage and leave credits kick in by your third month, so you're protected while you grow.
Technology that empowers you. Our AI-driven platform streamlines workflows so you can focus on what matters — accurate coding, clean claims, and strong provider relationships.
A career with real runway. As Expedock expands into healthcare, opportunities for advancement, specialization, and leadership will grow alongside the team.
A culture built on excellence. We hire talented people, treat them well, and connect their work to real outcomes for patients and providers.

Medical Biller, Coder

Key skills