Medical Biller & Coder, Level 3

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🕒 January 16

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EMS

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1964

💊 Pharmaceuticals

⚕️ Healthcare Insurance

🧘 Wellness

Pharmaceuticals • Healthcare Insurance • Wellness

EMS is the largest pharmaceutical laboratory in Brazil, recognized for its commitment to providing effective and affordable health solutions. With over 55 years in the industry, EMS operates in more than 40 countries and offers a diverse portfolio of products, including innovative treatments for chronic conditions such as obesity and diabetes. The company also emphasizes social responsibility and quality, investing in research and development to ensure high standards in the medications it produces.

📋 Description

• Review clinical documentation to confirm required elements are present prior to billing (signed notes, treatment plans, service dates, units, provider credentials) • Assign accurate CPT, ICD-10-CM, and applicable HCPCS codes based on documentation • Enter charges accurately into the EHR or billing system • Submit claims timely and in compliance with payer-specific requirements • Verify patient demographics, insurance information, and payer details prior to claim submission • Identify and correct claim rejections, coding errors, and data entry issues • Support denial resolution activities by correcting coding or documentation issues as directed • Ensure all services rendered are captured and billed; escalate suspected missed charges • Maintain organized, audit-ready billing records and supporting documentation • Adhere to workflows, quality standards, and productivity expectations established by the Team Lead • Communicate documentation gaps, authorization issues, or system barriers promptly to the Team Lead

🎯 Requirements

• Minimum 2–4 years of U.S. medical billing and coding experience • Outpatient mental health or behavioral health billing experience preferred • Working knowledge of CPT, ICD-10-CM, and basic HCPCS coding • Familiarity with U.S. insurance, Medicaid, and managed care billing processes • Strong attention to detail and accuracy • Ability to follow defined workflows and quality standards • Strong written and verbal English communication skills • Experience working in secure virtual workstation environments preferred • Professional coding certifications (CPC or equivalent) preferred

🏖️ Benefits

• Not applicable (Independent Contractor)