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Remote Medical Coding Billing
Position Overview
We are seeking an experienced and detail-oriented Medical Coder & Biller with strong expertise in medical coding, claim denials management, and revenue cycle operations. The ideal candidate will have hands-on experience with PracticeSuite and a proven ability to manage weekly billing cycles, resolve denials efficiently, and generate performance-driven reporting.
This role requires a self-starter who can work independently while collaborating closely with leadership, including the CFO, to track key revenue metrics and improve financial performance.
Key Responsibilities
Medical Coding & Claim Submission
- Accurately assign ICD-10-CM, CPT, and HCPCS codes based on provider documentation
- Prepare, review, and submit clean claims through PracticeSuite
- Ensure compliance with CMS regulations and payer-specific guidelines
- Maintain high first-pass claim acceptance rates
Denials Management
- Identify, analyze, and resolve claim denials and rejections
- Correct coding, eligibility, authorization, and demographic errors
- Prepare and submit timely appeals with supporting documentation
- Track denial trends and recommend process improvements to reduce recurrence
Payment Posting & Accounts Receivable (A/R) Follow-Up
- Accurately post insurance and patient payments (EOBs and ERAs) in PracticeSuite
- Review and resolve underpayments and payment discrepancies
- Follow up with payers on unpaid or underpaid claims
- Maintain organized and audit-ready billing documentation
Reporting & Revenue Analytics
- Generate weekly billing, A/R, and denial reports from PracticeSuite
- Track and report on key performance indicators (KPIs), including:
*
- Claim acceptance rate
- Denial rate by payer and denial reason
- Days in A/R
- Outstanding balances
- Clearly communicate findings and recommendations to leadership and internal stakeholders
Collaboration & Process Improvement
- Work closely with providers and internal teams to resolve documentation and billing issues
- Provide feedback to improve documentation accuracy and claim submission quality
- Participate in process optimization initiatives to strengthen revenue cycle performance
Required Qualifications
- 3–4 years of medical billing and coding experience
- Proven experience managing claim denials and appeals
- Coding certification (CPC, CCS, or equivalent) preferred but not required
- Strong knowledge of ICD-10, CPT, and HCPCS coding systems
- Experience working with Medicare, Medicaid, and commercial payers
- Ability to generate and explain weekly billing and denial reports
- Strong attention to detail and time management skills
- Ability to work independently with minimal supervision
Preferred Qualifications
- Experience with family practice, outpatient, or hospital-based billing
- Familiarity with payer portals and clearinghouses
- Hands-on experience with PracticeSuite
Schedule & Expectations
- 30 hours per week
- Consistent availability during standard U.S. business hours
- Ability to meet weekly billing cycles and reporting deadlines
- Strong productivity and accountability standards
Work Authorization & Location Requirement
- Applicants must be legally authorized to work in the United States
- This position does not offer visa sponsorship or transfer
- Candidate must reside and perform work within the United States
Job Types: Full-time, Part-time
Pay: $30.00 - $35.00 per hour
Work Location: Remote
