Medical Coder

Job not on LinkedIn

4 hours ago

Apply Now

Receive Emails with Similar Jobs

Remote Raven

WebsiteLinkedInAll Job Openings

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

• Lead and manage the revenue cycle team, including billing, coding, and collections staff • Monitor and improve billing accuracy, referrals/prior authorizations, claim submission, and denial prevention/management • Develop and implement strategies to accelerate revenue collection (including precollections) and reduce AR days • Collaborate with clinical and administrative departments to streamline workflows, including office visits, testing procedures, and DME • Analyze financial reports and present revenue cycle performance to leadership • Negotiate with payers on reimbursement issues, fee schedules, and resolution of escalated claims • Train and mentor staff on billing software, coding updates, and regulatory changes • Conduct internal audits to ensure coding accuracy and billing integrity • Maintain up-to-date knowledge of medical coding, payer policies, and industry trends • Claims Management: Transmit claims through the EHR, scrub for accuracy, and ensure timely submission. • Remittance Posting: Apply remits electronically; process both electronic and paper Explanation of Benefits (EOBs). • Denials & Corrected Claims: Work corrected claims, re-submit as needed, and manage claim denials through appeals and follow-ups. • Payment Tracking: Post payments to client accounts, track balances owed, and reconcile discrepancies. • Reconciliation: Reconcile all payments received (electronic and paper) against bank deposits and internal records. • Reporting: Generate company productivity reports, including revenue per therapist and other KPIs. • Compliance & Accuracy: Maintain strict adherence to HIPAA, payer requirements, and billing standards.

🎯 Requirements

• 5+ years of experience in outpatient clinic medical billing and revenue cycle management • Strong knowledge of Athenahealth EMR/EHR systems, billing software, and reports • Certification in medical coding (e.g., CPC, CCS) preferred • Excellent leadership, analytical, and communication skills • Proven ability to manage teams and drive performance metrics • Minimum 3+ years of experience in medical billing, coding, and revenue cycle management. • Medical coder licensed • Strong knowledge of EHR and billing workflows (experience with Athena or similar systems preferred). • Proficient in processing electronic and paper claims/EOBs. • Hands-on experience with denial management, corrected claims, and appeals. • Strong Excel/reporting skills (pivot tables, formulas, productivity metrics). • Excellent organizational skills and high attention to detail. • Strong communication skills for provider, payer, and team collaboration. • Ability to work independently and meet deadlines in a fast-paced environment.