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 practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona. The Medical Biller/Coder supports the billing team by reviewing clinical documentation, assigning accurate codes, processing claims and invoices, and working with providers, insurance companies, and patients to address coding and billing issues.

The role is responsible for accurately reviewing, coding, and billing medical services for an Allergy & Asthma practice. It involves assigning ICD-10-CM, CPT, and HCPCS codes, submitting claims promptly, and complying with payer and regulatory requirements. The position is fully remote and requires a dedicated, secure, HIPAA-compliant home office, reliable high-speed internet, and the ability to work independently while meeting productivity and quality standards. The schedule is Monday through Friday, 8:00 a.m. to 4:30 p.m. Pacific Time, and candidates must be consistently available for these hours.

Requirements

• High school diploma or equivalent required.
• 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.
• Ability to work independently while meeting productivity and quality standards.
• Consistent availability Monday through Friday, 8:00 a.m. to 4:30 p.m. Pacific Time.

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 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 as needed.
• Maintain accurate patient and billing records within the practice management system.
• Code and bill allergy testing procedures, immunotherapy services, biologic injections, pulmonary function testing, and related specialty services.
• Verify that coding accurately 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 initiatives within the revenue cycle department.
• Maintain coding accuracy and productivity standards, ensure timely and accurate claim submission, minimize coding-related denials and rework, and support optimal reimbursement and revenue cycle performance.

Benefits

• Competitive compensation and professional development opportunities.
• Medical insurance.
• Dental insurance.
• Vision insurance.
• 401(k) retirement plan with employer matching.
• 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