Medical Biller, Charge Entry

This is a fully remote position, open to applicants in California.

📋 Description

• Assess provider documentation for precision and completeness.

• Allocate ICD-10-CM, CPT, and HCPCS codes for consultations, procedures, diagnostic tests, and treatments.

• Guarantee coding adherence to payer guidelines, Medicare standards, and industry protocols.

• Detect documentation shortcomings and liaise with providers for further clarification.

• Stay updated on coding revisions, payer expectations, and regulatory developments.

• Prepare and electronically submit clean claims to insurance companies.

• Review and rectify claim edits and denials prior to submission.

• Monitor claim progress and ensure timely payment.

• Accurately process insurance and patient payments.

• Examine Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERA) postings.

• Assist with claim amendments, rebilling, and appeals when necessary.

• Keep precise patient and billing records within the practice management system.

• Code and bill for allergy testing procedures, immunotherapy services, biologic injections, pulmonary function tests, and related specialty services.

• Confirm that coding accurately represents services rendered and meets medical necessity criteria.

• Aid in recognizing coding and reimbursement prospects while ensuring compliance.

• Adhere to HIPAA guidelines, payer policies, and federal regulations.

• Engage in internal audits and quality assurance evaluations.

• Uphold the confidentiality of patient and practice information.

• Promote ongoing process improvement efforts within the revenue cycle department.

• Maintain coding precision and productivity benchmarks.

• Ensure timely and accurate claim submissions.

• Reduce coding-related denials and rework.

• Support optimal reimbursement and revenue cycle efficiency.

• Comply with all regulatory and payer requirements.

⛳️ Requirements

• High school diploma or equivalent is mandatory; Associate degree is preferred.

• A minimum of 2 years of experience in medical billing and coding, ideally within an Allergy & Asthma, Pulmonary, ENT, or specialty physician practice.

• Comprehensive knowledge of ICD-10-CM, CPT, HCPCS, and medical terminology.

• Experience in claim submission, payment posting, denial management, and insurance billing.

• Proficient in Electronic Medical Records (EMR) and practice management software.

• Strong attention to detail and accuracy.

• Excellent communication and organizational abilities.

• Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Biller (CPB), or similar qualification is preferred.

• Experience in coding allergy testing, immunotherapy, biologic medications, and respiratory procedures is preferred.

• Previous experience in remote medical billing and coding is preferred.

• Requires a dedicated, secure, and HIPAA-compliant workspace at home.

• Reliable high-speed internet connection is required.

• Ability to work independently while achieving productivity and quality targets.

• Candidates must be available to work Monday through Friday, from 8:00 a.m. to 4:30 p.m. Pacific Time (PT) consistently.

• Capability to stand, walk, and move throughout the clinic, if applicable, for extended durations; occasionally lift items up to 25 lbs., bend, stoop, or reach as necessary.

• Frequent use of hands and fingers for patient care and equipment operation.

• Must possess normal (or corrected) vision and hearing and be able to respond promptly in a fast-paced clinical setting, if applicable.

🏝️ Benefits

• Competitive compensation.

• Opportunities for professional development.

• Medical insurance.

• Dental insurance.

• Vision insurance.

• 401(k) retirement plan with employer matching.

• Paid time off (PTO).

• Sick leave.

• Floating holidays.

• Holiday pay.

• Supportive, mission-driven culture.

• Chance to influence the future of a flourishing allergy and asthma practice.