Medical Biller & Coder 6

Enterprise Mangement Solutions Inc•Baltimore, MD

1d•Remote

About The Position

The Medical Biller & Coder provides medical billing and coding services for outpatient mental health center clients. This includes translating clinical documentation into accurate diagnosis and procedure codes, entering charges, submitting claims, correcting errors, and supporting accounts receivable workflows. All services are performed under the functional oversight and quality review of the Medical Billing & Coding Analyst 3 (Team Lead – Team C) and are a critical component of the Revenue Cycle Management process.

Requirements

Minimum 2–4 years of U.S. medical billing and coding experience
Working knowledge of CPT, ICD-10-CM, and basic HCPCS coding
Familiarity with U.S. insurance, Medicaid, and managed care billing processes
Strong attention to detail and accuracy
Ability to follow defined workflows and quality standards
Strong written and verbal English communication skills
All work must be performed exclusively on the assigned Amazon Workstation (AWS virtual workstation) authorized by Freedom Health Systems.
Use of personal devices, local storage, screenshots, external email forwarding, or unauthorized systems is strictly prohibited.

Nice To Haves

Outpatient mental health or behavioral health billing experience preferred
Experience working in secure virtual workstation environments preferred
Professional coding certifications (CPC or equivalent) preferred

Responsibilities

Review clinical documentation to confirm required elements are present prior to billing (signed notes, treatment plans, service dates, units, provider credentials)
Assign accurate CPT, ICD-10-CM, and applicable HCPCS codes based on documentation
Enter charges accurately into the EHR or billing system
Submit claims timely and in compliance with payer-specific requirements
Verify patient demographics, insurance information, and payer details prior to claim submission
Identify and correct claim rejections, coding errors, and data entry issues
Support denial resolution activities by correcting coding or documentation issues as directed
Ensure all services rendered are captured and billed; escalate suspected missed charges
Maintain organized, audit-ready billing records and supporting documentation
Adhere to workflows, quality standards, and productivity expectations established by the Team Lead
Communicate documentation gaps, authorization issues, or system barriers promptly to the Team Lead
Assist with billing backlogs or high-volume periods
Support internal quality assurance reviews and audits
Participate in training, coaching, and cross-training activities
Provide coverage for essential billing tasks during team member absences
Support process improvement initiatives related to billing accuracy and turnaround time