Medical Biller

Modena Allergy + Asthma•San Diego, CA

4d•Remote

About The Position

The Medical Biller/Coder reviews, codes, and bills medical services for an Allergy & Asthma practice. The role ensures appropriate assignment of ICD-10-CM, CPT, and HCPCS codes, timely claim submission, and compliance with payer and regulatory requirements. It covers specialty services such as allergy testing, immunotherapy, biologic injections, and pulmonary function testing, while supporting accurate reimbursement and revenue cycle performance. This is a fully remote, work-from-home position requiring a dedicated, secure, HIPAA-compliant home office and reliable high-speed internet. The Medical Biller/Coder works independently while meeting productivity and quality standards, maintaining confidentiality, and supporting process improvement. The position requires frequent computer use and may involve physical demands described as applicable to clinic work. The company offers competitive compensation and professional development opportunities. Eligible full-time employees may receive medical, dental, and vision insurance, a 401(k) plan with employer matching, paid time off, sick time, floating holidays, and holiday pay, subject to company policy.

Requirements

High school diploma or equivalent required; an associate degree is 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.
Ability to work independently while meeting productivity and quality standards.
Dedicated, secure, HIPAA-compliant home office workspace.
Reliable high-speed internet access.
Maintain confidentiality of patient and practice information.
Ability to stand, walk, and move throughout the clinic for extended periods, if applicable.
Occasionally lift objects up to 25 lbs., bend, stoop, or reach as needed.
Frequent use of hands and fingers for patient care and equipment operation.
Normal or corrected vision and hearing, and ability to respond quickly in a fast-paced clinical environment, if applicable.

Nice To Haves

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

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 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.
Support optimal reimbursement and revenue cycle performance.
Maintain compliance with all regulatory and payer requirements.