Certified Medical Coder

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Remote Raven

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HR Tech • Recruitment • B2B

Remote Raven is a company that connects businesses with highly qualified virtual assistants to fill various roles across multiple industries. They focus on providing professional, college-educated, and well-trained remote workers from the Philippines who can handle diverse tasks, including customer service, bookkeeping, digital marketing, HR, healthcare, and web development among others. Remote Raven ensures that these remote workers are fluent in English and hold relevant degrees or certifications. They offer a simple and affordable recruiting process without start-up fees, aiming to help companies streamline their staffing needs with reliable remote personnel.

11 - 50 employees

👥 HR Tech

🎯 Recruiter

🤝 B2B

📋 Description

• Oversee end-to-end billing and coding operations, including claims submission, payment posting, denial management, collections, and appeals. • Accurately apply CPT, ICD-10, and HCPCS codes while ensuring compliance with Medicare, Medicaid, and commercial payer policies, as well as HIPAA regulations. • Actively review claims for accuracy, scrub errors before submission, and manage appeals for denied claims. • Identify inefficiencies in billing workflows and implement strategies to streamline operations, reduce denials, and improve cash flow. • Monitor denial trends, track accounts receivable, and develop corrective actions to optimize collections. • Ensure clear communication with patients regarding billing statements and financial responsibilities. • Generate, review, and analyze revenue cycle reports; present financial performance insights and recommendations to leadership. • Work with Athena EHR or similar practice management systems to improve reporting, data accuracy, and system integration.

🎯 Requirements

• Active Coding Certification (CPC, CCS, or equivalent) required. • Bachelor’s degree in healthcare administration, finance, or a related field preferred. • 3–5 years of experience in medical billing, coding, and revenue cycle management (sleep medicine or specialty practice experience preferred). • Strong knowledge of payer guidelines, CPT/ICD-10 coding, and reimbursement policies. • Hands-on experience in claim scrubbing, denial management, and appeals. • Proficiency with Athena EHR (highly preferred). • Excellent analytical, organizational, and communication skills. • Ability to lead a team while also working independently in a remote setting.

🏖️ Benefits

• 100% remote work environment • Stable, full-time position