Why This Role Exists
This role requires the next hire to ensure accurate, compliant billing and coding processes that maximize revenue, reduce denials, and accelerate cash flow.
What You’ll Be Responsible For
Reviewing and coding medical records accurately (CPT, ICD-10)
Submitting clean claims and resolving denials
Monitoring accounts receivable and following up on unpaid claims
Ensuring compliance with payer and regulatory requirements
Identifying and fixing revenue leakage issues
What You’ve Done Before
Managed end-to-end medical billing and coding processes
Reduced claim denials and improved reimbursement rates
Worked with billing systems, clearinghouses, and payer portals
Maintained compliance with HIPAA and billing regulations
Who You Are
Detail-obsessed and accuracy-driven
Analytical and solutions-oriented
Proactive in identifying issues and fixing them
Accountable for revenue outcomes, not just task completion
What Success Looks Like
98%+ clean claim rate on first submission
25%+ reduction in claim denials
99%+ coding accuracy
20%+ reduction in days in A/R
What You Need To Have
Proven experience in medical billing and coding
Strong knowledge of CPT, ICD-10, and billing practices
Experience with EHR/EMR and billing platforms
Understanding of insurance and claims processes
Who This Is NOT For
Individuals who prioritize speed over accuracy
Those unfamiliar with compliance and billing standards
Candidates who prefer repetitive tasks without problem-solving
Minimum Technical and Work Environment Requirements:
Internet Connection:
Primary internet connection with a minimum speed of 15 Mbps.
Backup internet connection with at least 10 Mbps.
Backup connection must be capable of supporting work during a power outage.
Primary Device:
Desktop or laptop equipped with at least:
Intel Core i5 (8th generation or newer), Intel Core i3 (10th generation or newer), AMD Ryzen 5, or an equivalent processor.
A minimum of 8 GB RAM.
Backup Device:
Must meet or exceed the performance of an Intel Core i3 processor.
Must be functional during power interruptions.
Peripherals and Workspace:
A functioning webcam.
A noise-canceling USB headset.
A quiet, dedicated home office space.
A smartphone for communication and verification purposes.
