Remote Medical Billing / Coding Specialist

Augmentive Business 7 Solution
Remote

About The Position

We are hiring a Medical Billing / Coding Specialist with hands-on experience in revenue cycle management (RCM) and US healthcare billing processes. You must understand the end-to-end medical billing workflow (charge entry → claim submission → payment posting → denial management), medical coding standards (ICD-10, CPT, HCPCS), insurance claim lifecycle and payer guidelines, compliance requirements (HIPAA and documentation standards), and the use of billing software and EHR/EMR systems. This role is execution-focused, and we are not hiring theory-only profiles.

Requirements

  • 1–3 years of hands-on experience in medical billing and/or coding
  • Strong knowledge of ICD-10, CPT, and HCPCS coding systems
  • Experience with US healthcare billing and insurance processes
  • Familiarity with EHR/EMR and billing software
  • Understanding of denial management and AR follow-ups
  • High attention to detail and accuracy
  • Strong analytical and problem-solving skills

Nice To Haves

  • Certification (CPC, CCS, or equivalent)
  • Experience with multiple specialties (e.g., radiology, cardiology, etc.)
  • Knowledge of HIPAA compliance and audit processes
  • Exposure to automation tools or AI-assisted coding platforms
  • Experience working with US-based healthcare clients

Responsibilities

  • Perform accurate medical coding using ICD-10, CPT, and HCPCS codes
  • Handle charge entry, claim submission, and follow-ups with insurance companies
  • Review and resolve denied or rejected claims
  • Ensure proper documentation and compliance with healthcare regulations
  • Post payments and reconcile accounts
  • Maintain billing records and ensure data accuracy
  • Coordinate with providers, payers, and internal teams
  • Use tools/automation to improve turnaround time and reduce errors
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