Certified Medical Coder

2 days ago

Philippines Remote Raven Full time $24,000 - $52,000 per year

Job Summary:

We are seeking an experienced and highly skilled Certified Medical Coder to oversee our practice's billing and revenue cycle operations. This is a hands-on role where you will not only manage and lead but also actively work billing tasks—scrubbing claims, handling appeals, and ensuring timely collections.

The ideal candidate has strong expertise in coding, billing, and revenue cycle management, with the ability to optimize processes, improve financial outcomes, and lead a team. Experience with Athena EHR is a strong plus.

Key Responsibilities:

  • Revenue Cycle Management: Oversee end-to-end billing and coding operations, including claims submission, payment posting, denial management, collections, and appeals.
  • Coding & Compliance: Accurately apply CPT, ICD-10, and HCPCS codes while ensuring compliance with Medicare, Medicaid, and commercial payer policies, as well as HIPAA regulations.
  • Claim Scrubbing & Appeals: Actively review claims for accuracy, scrub errors before submission, and manage appeals for denied claims.
  • Process Improvement: Identify inefficiencies in billing workflows and implement strategies to streamline operations, reduce denials, and improve cash flow.
  • Denial & A/R Management: Monitor denial trends, track accounts receivable, and develop corrective actions to optimize collections.
  • Patient Billing: Ensure clear communication with patients regarding billing statements and financial responsibilities.
  • Reporting & Analysis: Generate, review, and analyze revenue cycle reports; present financial performance insights and recommendations to leadership.
  • Technology Optimization: Work with Athena EHR or similar practice management systems to improve reporting, data accuracy, and system integration.

Qualifications:

  • Active Coding Certification (CPC, CCS, or equivalent) required.
  • Bachelor's degree in healthcare administration, finance, or a related field preferred.
  • 3–5 years of experience in medical billing, coding, and revenue cycle management (sleep medicine or specialty practice experience preferred).
  • Strong knowledge of payer guidelines, CPT/ICD-10 coding, and reimbursement policies.
  • Hands-on experience in claim scrubbing, denial management, and appeals.
  • Proficiency with Athena EHR (highly preferred).
  • Excellent analytical, organizational, and communication skills.
  • Ability to lead a team while also working independently in a remote setting.

What We Offer:

  • 100% remote work environment.
  • Stable, full-time position
  • Uup to $10/hr
  • Supportive leadership and a collaborative team culture.

If you are a certified coder and billing professional with proven revenue cycle expertise and a strong work ethic, we would love to hear from you.

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