Medical Biller & Coder

Woodlands Primary Healthcare•The Woodlands, TX

2d•Hybrid

About The Position

Woodlands Primary Healthcare is seeking an experienced Medical Biller and Coder to join our growing family medicine practice. We are looking for a detail-oriented professional with proven expertise in medical billing, coding, revenue cycle management, and a strong background in family or internal medicine. This position is in-person or hybrid. Candidates must reside within a reasonable commuting distance of The Woodlands, TX. Fully remote candidates will not be considered. ⚠️ IMPORTANT: Any individual or company reaching out about this position outside of this platform will be automatically disqualified.

Requirements

Minimum 3–5 years of hands-on experience in medical billing and coding, specifically in family or internal medicine
Strong knowledge of ICD-10, CPT, and HCPCS coding systems
eClinicalWorks (eCW) experience is required — please specify when you last used it and in what capacity
Familiarity with Trizetto (Gateway EDI) for claims submission and clearinghouse management
Experience with Availity for eligibility verification, claim status, and ERA/EOB retrieval
Comprehensive understanding of medical terminology and billing regulations
Full availability Monday through Friday, 8:00 AM – 5:00 PM Central Standard Time (CST)
Must reside within a reasonable commuting distance of The Woodlands, TX
High school diploma or equivalent required; Associate's degree preferred

Nice To Haves

Certification: CPC, CCA, CCS, or equivalent
Experience coding for mammogram and/or ultrasound procedures
Experience with Remote Patient Monitoring (RPM) billing
Prior experience handling A/R follow-ups and denial management
Familiarity with HEDIS quality measures and documentation standards

Responsibilities

Accurately code diagnoses, procedures, and visit documentation using ICD-10, CPT, and HCPCS coding systems
Review and audit daily charts to ensure complete, accurate, and compliant coding
Prepare and submit insurance claims to payers in a timely and compliant manner
Monitor and manage accounts receivable (A/R), including follow-ups on unpaid claims, rejections, and denials
Investigate and resolve billing discrepancies with insurance providers
Communicate effectively with the clinical team to clarify coding and documentation requirements
Maintain comprehensive and confidential patient records in accordance with HIPAA guidelines
Support revenue cycle processes to maximize reimbursements