Medical Biller

Job not on LinkedIn

🔥 1 minute ago

🏄 California – Remote

🏄 California – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 12%

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MODENA

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

👥 B2C

Healthcare • B2C

Modena is a regional healthcare provider focused on allergy, immunology and respiratory care. With multiple clinic locations across Southern California and Arizona, Modena Health offers diagnostic testing and specialized treatments for allergies, asthma, chronic sinusitis, nasal polyps, inflammatory/eosinophilic diseases, immune disorders and pediatric pulmonology. Services highlighted include oral immunotherapy (OIT), sublingual OIT, low-dose immunotherapy, allergy testing, blood testing, and ongoing patient support. The organization is led by founder Brian Modena, MD, MSc, and staffed by board-certified allergists/immunologists, pediatric specialists and respiratory clinicians; the practice also mentions involvement in clinical research and applications of AI, genetics and the microbiome to personalize care.

📋 Description

• Review provider documentation for accuracy and completeness • Assign ICD-10-CM, CPT, and HCPCS codes for office visits, procedures, diagnostic testing, and treatments • Ensure coding compliance with payer guidelines, Medicare regulations, and industry standards • Identify documentation deficiencies and communicate with providers for clarification • Stay current with coding updates, payer requirements, and regulatory changes • Prepare and submit clean claims electronically to insurance carriers • Review and correct claim edits and rejections before submission • Monitor claim status and ensure timely reimbursement • Process insurance and patient payments accurately • Review Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERA) postings • Assist with claim corrections, rebilling, and appeals • Maintain accurate patient and billing records in the practice management system • Code and bill allergy testing, immunotherapy services, biologic injections, pulmonary function testing, and related specialty services • Verify that coding reflects services provided and supports medical necessity requirements • Assist in identifying coding and reimbursement opportunities while maintaining compliance • Ensure compliance with HIPAA, payer policies, and federal regulations • Participate in internal audits and quality assurance reviews • Maintain confidentiality of patient and practice information • Support continuous process improvement within the revenue cycle department • Maintain coding accuracy and productivity standards • Ensure timely and accurate claim submission • Minimize coding-related denials and rework • Support optimal reimbursement and revenue cycle performance • Maintain compliance with regulatory and payer requirements

🎯 Requirements

• High school diploma or equivalent required; associate degree preferred • Minimum 2 years of medical billing and coding experience, preferably in an Allergy & Asthma, Pulmonary, ENT, or specialty physician practice • Strong knowledge of ICD-10-CM, CPT, HCPCS, and medical terminology • Experience with claim submission, payment posting, denial management, and insurance billing • Proficiency with Electronic Medical Records (EMR) and practice management software • Strong attention to detail and accuracy • Excellent communication and organizational skills • Dedicated, secure, HIPAA-compliant home office workspace • Reliable high-speed internet access required • Ability to work independently while meeting productivity and quality standards • Frequent use of computers, billing software, and communication platforms • CPC, CCS, CPB, or equivalent certification preferred • Experience coding allergy testing, immunotherapy, biologic medications, and respiratory procedures preferred • Previous remote medical billing and coding experience preferred • Ability to stand, walk, and move throughout the clinic, if applicable, for extended periods • Ability to occasionally lift objects up to 25 lbs., bend, stoop, or reach as needed • Normal or corrected vision and hearing and ability to respond quickly in a fast-paced clinical environment, if applicable

🏖️ Benefits

• Competitive compensation • Professional development opportunities • Medical, dental, and vision insurance for eligible full-time employees • 401(k) retirement plan with employer matching for eligible full-time employees • Paid time off (PTO) • Sick time • Floating holidays • Holiday pay • Supportive, mission-focused culture • Opportunity to shape the future of a growing allergy and asthma practice