Medical & Billing Coder – Remote | WFH

  • Full Time
  • remote
Are you ready to leverage your clinical expertise in a rewarding new opportunity? Join our team to play a pivotal role in ensuring accuracy and compliance within our group health program. As you’ll meticulously review medical records and accompanying reports, ensuring precise medical billing information and coding. Collaborating closely with fellow reviewers and office teams, you’ll uphold clarity of information and meet client deadlines with confidence and professionalism.

Core Duties & Responsibilities

Assess the suitability of codes against established program standards, guaranteeing accuracy and compliance.

Ensure seamless alignment between medical records and assigned codes, proactively acquiring any missing records as needed.

Apply policy guidelines and healthcare terminology adeptly, discerning adherence to criteria with precision.

Evaluate claims for conflicts of interest and appropriateness of criteria, maintaining integrity throughout the process.

Adhere to program timelines diligently, working efficiently within established parameters.

Demonstrate exceptional customer service, engaging with clients on a case-by-case basis to ensure timely, error-free quality assurance.

Provide clinical oversight for complex cases, conducting additional reviews where necessary to support client needs.

Serve as an additional layer of quality assurance, leveraging clinical expertise to address any issues encountered.


Required Education & Experience:

Possess a CPC, APCC, or DRG coder certification.

Prior experience in payment integrity or professional bill review is highly desirable.

Familiarity with out-of-network bill review processes is advantageous.

Experience Working In a Remote Capacity Is Preferred.

Background in a medical office or healthcare setting is advantageous.

Required Skills

Demonstrate a proactive approach and ability to meet deadlines consistently.

Exhibit self-motivation and a commitment to delivering excellence in performance.

Exceptional Written And Verbal Communication Skills Are Essential.

Proficiency in navigating various computer programs; familiarity with Google Chrome, Gmail, Docs, Sheets, etc., is advantageous.

Meticulous attention to detail is a fundamental requirement.

PLEASE BE AWARE: For the security of all parties, interviews will never be conducted via text, and candidates will never be asked for checks to purchase equipment.


We offer a comprehensive benefits package, including generous Paid Time Off and competitive salary. If you’re seeking a dynamic environment where your contributions make a tangible impact on others’ lives, we encourage you to apply!

Employment Type: Full-Time

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