Medical Biller and Coder

Key Responsibilities:

The Medical Biller & Certified Coder is responsible for accurate coding, timely claim submission, accounts receivable (AR) management, and denial resolution for inpatient and outpatient practices. This role requires proficiency across multiple EHR platforms and payer portals, including Availity, and the ability to analyze denial trends to improve reimbursement outcomes. The ideal candidate is detail-oriented, analytical, and experienced in end-to-end revenue cycle operations.

Key Responsibilities -

Coding & Compliance -

• Assign accurate ICD-10-CM, CPT, HCPCS, and modifier codes for inpatient and outpatient services in compliance with payer and regulatory guidelines

• Review clinical documentation to ensure coding accuracy, completeness, and medical necessity

• Independently research and interpret state, federal (CMS), and commercial payer guidelines to support coding, billing, and appeal decisions