Virtual Medical Assistant – Biller and Coder
6 days ago
Job Summary:
We are looking for a Certified Medical Coder and Experienced Medical Biller with expertise in assigning CPT, HCPCS, and ICD-10 codes for professional and/or facility claims, submitting medical claims, and completing follow-up and denial resolution. This role ensures accuracy, compliance, and timely and maximized reimbursement.
Responsibilities:
· Assign CPT, HCPCS, and ICD-10 codes and modifier to provider documentation
· Review medical charts and notes for coding accuracy
· Ensure coding supports medical necessity and payer guidelines
· Apply appropriate modifiers for billing compliance
· Conduct coding audits to reduce risk of denials
· Correct and resubmit claims denied for coding issues
· Stay updated on ICD-10, CPT, and payer coding updates
· Query providers for documentation clarification
· Enter charges into the billing system using provided coding
· Prepare and submit clean claims (electronic and paper) to insurance payers
· Monitor clearinghouse rejections and correct errors
· Verify insurance eligibility and obtain required authorizations before claim submission
· Review payer remittance advice for denial reasons
· Correct and resubmit denied or rejected claims
· Ensure claims meet payer compliance and submission requirements
· Communicate with providers regarding missing or incomplete claim details
Qualifications:
· CPC, CCS, or equivalent certification required.
· 2+ years of coding experience in a healthcare setting.
· 2+ years of experience in medical billing or RCM.
· Knowledge of payer rules, LCD/NCDs, and medical necessity.
· Strong analytical and documentation review skills.
· Knowledge of CPT, ICD-10, and HCPCS codes.
· Familiarity with clearinghouses and payer portals.
· Strong problem-solving and follow-up skills.
Compensation
$1,100 USD per Month
Full Time, Direct Hire
Job Types: Full-time, Permanent
Work Location: Remote
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