Certified Medical Biller and Coder

Position Summary

We are seeking a detail-oriented Certified Medical Biller and Coder to join our growing family practice. This position plays an essential role in supporting the organization's revenue cycle through accurate medical billing, coding review, claims processing, and reimbursement of professional medical services.

The successful candidate will prepare and submit insurance claims, perform charge entry and payment posting, review clinical documentation to ensure diagnosis and procedure codes are supported, identify coding and documentation discrepancies, and ensure compliance with payer requirements, federal regulations, and industry coding guidelines. This position also serves as a coding resource for providers and staff by promoting documentation accuracy, monitoring coding updates, assisting with claim resolution, and supporting overall revenue cycle performance.

Essential Responsibilities

• Review clinical documentation to ensure diagnosis and procedure codes are accurate, complete, and supported.
• Assign and verify CPT, ICD-10-CM, and HCPCS codes, as applicable.
• Prepare, review, and submit electronic and paper insurance claims.
• Perform charge entry, payment posting, and claims processing.
• Identify and resolve claim edits, denials, rejections, and billing discrepancies.
• Verify patient demographics and insurance information for billing accuracy.
• Follow up on outstanding insurance claims and accounts receivable.
• Ensure compliance with payer requirements, federal regulations, and industry coding guidelines.
• Monitor coding updates and assist providers and staff with documentation and coding questions.
• Collaborate with providers, clinical staff, and insurance carriers to resolve billing and coding issues.
• Maintain accurate billing records while supporting efficient revenue cycle operations.

Qualifications

Required

• Previous medical billing experience.
• Strong knowledge of medical terminology and insurance billing processes.
• Working knowledge of CPT, ICD-10-CM, and HCPCS coding.
• Experience with electronic health records (EHR) and medical billing software.
• Strong attention to detail, organizational skills, and communication skills.

Preferred

• Previous experience in a primary care or family practice setting.
• Knowledge of Medicare, Medi-Cal, commercial insurance, and managed care billing.
• Bilingual skills are a plus.

Certification

• Current Medical Billing and Coding Certification is required

Additional Requirements

• Maintain a professional appearance and demeanor at all times.
• Friendly, compassionate, and patient-focused approach.
• Strong customer service skills.

Work Environment & Physical Requirements

• In-office position (remote work not available).
• Ability to sit or stand for extended periods.
• Frequent walking, bending, and movement throughout the clinic.
• Occasional lifting, pushing, or pulling of items up to 25 pounds.
• Frequent use of hands for clinical and administrative tasks.
• Ability to effectively communicate with patients, staff, providers, and insurance representatives.

Compensation & Benefits

Position: Full-Time, Non-Exempt, hourly, W2 status

Pay: $25.00 per hour

Benefits

• 401(k) (based on plan eligibility)
• 401(k) Employer Match (based on plan eligibility)
• Health Insurance (Full-Time Employees)
• Dental Insurance (Full-Time Employees)
• Vision Insurance (Full-Time Employees)
• Life Insurance (Full-Time Employees)
• Paid Time Off

Eligibility for benefits is based on company policy.

Pay: $25.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

License/Certification:

• Medical Billing and Coding Certification (Required)

Willingness to travel:

• 25% (Preferred)

Work Location: In person

Salary : $25