Medical Billing & Coding Specialist – Primary Care

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

📋 Description

• Assign and review suitable diagnosis and procedure codes.

• Ensure coding accuracy and adherence to payer requirements.

• Provide support to providers regarding documentation-related coding inquiries.

• Assist in upholding coding standards and best practices.

• Verify insurance details and confirm patient eligibility.

• Aid in claim corrections, resubmissions, and appeals when required.

• Help enhance reimbursement and minimize claim denials.

• Maintain compliance with healthcare billing and coding regulations.

• Support general healthcare administrative tasks as needed.

• Assist with documentation and record management.

• Adapt to evolving responsibilities as the clinic expands.

• Collaborate with providers and team members to boost operational efficiency.

⛳️ Requirements

• Previous experience in medical billing and coding is mandatory.

• Strong knowledge of ICD-10, CPT, and HCPCS coding systems.

• Experience in reviewing clinical documentation and assigning precise diagnosis and procedure codes.

• Ability to identify discrepancies in coding, gaps in documentation, and compliance issues.

• Strong understanding of healthcare reimbursement processes and claims management.

• Experience dealing with insurance companies and payer guidelines.

• Exceptional attention to detail and dedication to accuracy.

• Prior experience in primary care practices is highly preferred.

• Familiarity with family medicine, internal medicine, preventive care, chronic disease management, and routine outpatient visits.

• Understanding of Evaluation and Management (E/M) coding guidelines and documentation requirements.

• Ability to review medical records and ensure documentation supports coding decisions.

• Familiarity with healthcare compliance standards and coding best practices.

• Experience collaborating with providers to enhance documentation quality.

• Strong computer skills and ability to learn new systems rapidly.

• Excellent organizational and time-management abilities.

• Capability to manage multiple priorities in a fast-paced environment.

• Comfort in adapting to changing workflows and responsibilities.

• Outstanding written and verbal communication skills in English.

• Ability to communicate professionally with providers, clinical staff, and administrative team members.

• Strong problem-solving, analytical, and critical-thinking abilities.

🏝️ Benefits

• Dedicated HR & Contractor Support Team: Access to top-notch support for inquiries, guidance, contract matters, and client communication.

• Premium VPN Access (Optional): A secure VPN license is available upon request to enhance privacy and security for client-related tasks.

• HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to empower you to handle PHI for U.S. healthcare clients with confidence.

• Top 1% VA Performance Training: Access to proprietary training on communication, client management, productivity systems, and best practices to help you excel as a top-performing VA and boost long-term client retention.

• Client-Approved U.S. Holidays: Contractors may take U.S. holidays off based on the client’s needs and schedule.

• Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client, with paid time off being optional and only if offered by the client.

• Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to enable you to perform at your best.

• Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.