Remote Medical Biller and Coder (2–4 Years Experience)

2 - 4 years

3 - 6 Lacs

Posted:3 weeks ago| Platform: SimplyHired logo

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Work Mode

Remote

Job Type

Full Time

Job Description

Akshar MediSolution is a leading medical billing and revenue cycle management (RCM) company committed to providing HIPAA-compliant, cost-effective solutions to healthcare providers across the globe. Our client base includes hospitals, clinics, labs, and solo practitioners. We focus on reducing claim denials, improving cash flow, and ensuring complete transparency in medical billing practices.

Overview
We are seeking a certified and detail-oriented Remote Medical Biller and Coder to join our growing RCM team. The ideal candidate should have 2 to 4 years of hands-on experience in medical billing and coding, including working knowledge of ICD-10, CPT, and HCPCS coding systems. You will be responsible for reviewing medical records, coding services, submitting claims on timely manner, and managing denials—all from a secure remote setup. You will play crucial role in maintaining the financial health of our practice while providing excellent service to patients and insurance providers.

Job Responsibilities – Medical Biller and Coder

  • Assign accurate ICD-10, CPT, and HCPCS codes to diagnoses and procedures based on thorough analysis of medical documentation.
  • Submit timely and compliant electronic and paper claims to Medicare, Medicaid, and commercial insurance carriers.
  • Identify and process billing for secondary and tertiary insurances to ensure complete reimbursement.
  • Monitor and resolve denied or rejected claims, including preparing and submitting appeals as necessary.
  • Post and reconcile payments from insurance payers and patients, maintaining accurate financial records.
  • Conduct routine internal audits to ensure accuracy in coding and billing, and adherence to payer and regulatory guidelines.
  • Obtain, verify, and maintain up-to-date patient demographic and insurance information in the billing system.
  • Respond promptly to insurance documentation requests and follow up to ensure claim resolution.
  • Generate and review monthly accounts receivable (A/R) reports; pursue outstanding claims aged over 60 days.
  • Investigate and resolve discrepancies related to insurance billing, coding, or reimbursement.
  • Maintain accurate, organized, and HIPAA-compliant documentation for all billing and coding activities.
  • Log all billing actions and communications clearly and concisely within the system to support transparency and audit readiness.
  • Collaborate with healthcare providers and administrative staff to clarify clinical documentation and ensure correct billing practices.
  • Remain current on industry updates, including changes to coding regulations, payer guidelines, and HIPAA standards.
  • Attend quarterly in-person review meetings to discuss performance metrics, compliance updates, and process improvement initiatives.
  • Maintain high levels of accuracy and efficiency while working in a remote, HIPAA-compliant environment.

Qualification:

  • Bachelor’s Degree required.
  • Fluent in English with strong verbal and written communication skills.
  • Excellent organizational and time-management abilities.
  • Prior experience working with physical therapy (PT), occupational therapy (OT), behavioral therapy, primary care providers (PCP), ophthalmology, and non-emergency medical transportation (NEMT) billing preferred.
  • Familiarity with medical billing and coding practices within these specialties is highly desirable.
  • Ability to accurately interpret and process medical documentation related to multiple therapy disciplines and specialized care.
  • Strong attention to detail and commitment to maintaining compliance with healthcare regulations.

Job Type: Full-time

Pay: ₹30,000.00 - ₹50,000.00 per month

Benefits:

  • Commuter assistance
  • Work from home

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