Medical Biller & Coder

Woodlands Primary Healthcare is seeking an experienced Medical Biller and Coder to join our growing family medicine practice. We are looking for a detail-oriented professional with proven expertise in medical billing, coding, revenue cycle management, and a strong background in family or internal medicine.

This position is in-person or hybrid. Candidates must reside within a reasonable commuting distance of The Woodlands, TX. Fully remote candidates will not be considered.

• ️ IMPORTANT: Any individual or company reaching out about this position outside of this platform will be automatically disqualified.

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KEY RESPONSIBILITIES

• Accurately code diagnoses, procedures, and visit documentation using ICD-10, CPT, and HCPCS coding systems
• Review and audit daily charts to ensure complete, accurate, and compliant coding
• Prepare and submit insurance claims to payers in a timely and compliant manner
• Monitor and manage accounts receivable (A/R), including follow-ups on unpaid claims, rejections, and denials
• Investigate and resolve billing discrepancies with insurance providers
• Communicate effectively with the clinical team to clarify coding and documentation requirements
• Maintain comprehensive and confidential patient records in accordance with HIPAA guidelines
• Support revenue cycle processes to maximize reimbursements

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REQUIRED QUALIFICATIONS

• Minimum 3–5 years of hands-on experience in medical billing and coding, specifically in family or internal medicine
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems
• eClinicalWorks (eCW) experience is required — please specify when you last used it and in what capacity
• Familiarity with Trizetto (Gateway EDI) for claims submission and clearinghouse management
• Experience with Availity for eligibility verification, claim status, and ERA/EOB retrieval
• Comprehensive understanding of medical terminology and billing regulations
• Full availability Monday through Friday, 8:00 AM – 5:00 PM Central Standard Time (CST)
• Must reside within a reasonable commuting distance of The Woodlands, TX
• High school diploma or equivalent required; Associate's degree preferred

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PREFERRED QUALIFICATIONS

• Certification: CPC, CCA, CCS, or equivalent
• Experience coding for mammogram and/or ultrasound procedures
• Experience with Remote Patient Monitoring (RPM) billing
• Prior experience handling A/R follow-ups and denial management
• Familiarity with HEDIS quality measures and documentation standards

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SKILLS & COMPETENCIES

• Exceptional attention to detail and organizational skills
• Strong written and verbal communication skills
• Excellent computer literacy and technical proficiency
• Ability to work independently and collaboratively within a clinical team
• Strong problem-solving skills with a proactive approach
• Ability to multitask effectively in a fast-paced environment

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If you are dedicated to enhancing healthcare documentation accuracy, improving collections, and maintaining billing compliance, we'd love to hear from you!

Join our supportive team and grow with an expanding practice committed to exceptional patient care.

• ️ Reminder: Any individual or company reaching out outside of this platform will be automatically disqualified.