Medical Biller Charge Entry

Modena Allergy + Asthma • San Diego, CA

7d • Remote

About The Position

Modena Health and Modena Allergy & Asthma are physician-led, hospitality-focused, technology-enabled medical practices specializing in allergy, asthma, and immunology care. The Medical Biller/Coder supports the billing team by reviewing clinical documentation, assigning accurate codes, submitting claims, and helping ensure appropriate reimbursement and compliance. The position focuses on billing and coding services for an Allergy & Asthma practice, including office visits, procedures, testing, treatments, and specialty services. The role requires attention to detail, independent work, and collaboration with providers, insurers, and patients to clarify documentation and address billing issues.

This is a fully remote, work-from-home position requiring a dedicated, secure, HIPAA-compliant home office and reliable high-speed internet. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m. Pacific Time. The role uses computers, billing software, practice management systems, and communication platforms. Modena offers competitive compensation, professional development opportunities, and a supportive, mission-focused culture.

Requirements

• High school diploma or equivalent required.
• At least 2 years of medical billing and coding experience; experience in an Allergy & Asthma, Pulmonary, ENT, or specialty physician practice is preferred.
• 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.
• Ability to work independently while meeting productivity and quality standards.
• Availability to work Monday through Friday, 8:00 a.m. to 4:30 p.m. Pacific Time consistently.
• Ability to maintain a dedicated, secure, HIPAA-compliant home office workspace and reliable high-speed internet access.
• Ability to use computers, billing software, and communication platforms frequently.

Nice To Haves

• Associate degree preferred.
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Biller (CPB), or equivalent certification preferred.
• Experience coding allergy testing, immunotherapy, biologic medications, and respiratory procedures.
• Previous remote medical billing and coding experience.

Responsibilities

• Review provider documentation for accuracy and completeness.
• Assign appropriate ICD-10-CM, CPT, and HCPCS codes for office visits, procedures, diagnostic testing, and treatments.
• Ensure coding complies with payer guidelines, Medicare regulations, and industry standards.
• Identify documentation deficiencies and communicate with providers to obtain clarification.
• Stay current with coding updates, payer requirements, and regulatory changes.
• Prepare and electronically submit clean claims to insurance carriers.
• Review and correct claim edits and rejections before submission.
• Monitor claim status and support 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 coding reflects the services provided and supports medical necessity requirements.
• Help identify 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 initiatives within the revenue cycle department.
• Meet coding accuracy and productivity standards and support timely, accurate claim submission while minimizing coding-related denials and rework.

Benefits

• Competitive compensation.
• Professional development opportunities.
• Medical insurance for eligible full-time employees.
• Dental insurance for eligible full-time employees.
• 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, and holiday pay for eligible full-time employees in accordance with company policy.
• Supportive, mission-focused culture.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED