Benefits:
401(k)
401(k) matching
Bonus based on performance
Competitive salary
Employee discounts
Health insurance
Paid time off
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.
โ ๏ธ IMPORTANT: Any individual or company reaching out about this position outside of this platform will be automatically disqualified.
KEY RESPONSIBILITIES
โข Accurately code diagnoses, procedures, and visit documentation using ICD-10, CPT, and HCPCS coding systems โข Review and audit daily charts to ensure complete, accurate, and compliant coding โข Prepare and submit insurance claims to payers in a timely and compliant manner โข Monitor and manage accounts receivable (A/R), including follow-ups on unpaid claims, rejections, and denials โข Investigate and resolve billing discrepancies with insurance providers โข Communicate effectively with the clinical team to clarify coding and documentation requirements โข Maintain comprehensive and confidential patient records in accordance with HIPAA guidelines โข Support revenue cycle processes to maximize reimbursements
REQUIRED QUALIFICATIONS
โข Minimum 3โ5 years of hands-on experience in medical billing and coding, specifically in family or internal medicine โข Strong knowledge of ICD-10, CPT, and HCPCS coding systems โข eClinicalWorks (eCW) experience is required โ please specify when you last used it and in what capacity โข Familiarity with Trizetto (Gateway EDI) for claims submission and clearinghouse management โข Experience with Availity for eligibility verification, claim status, and ERA/EOB retrieval โข Comprehensive understanding of medical terminology and billing regulations โข Full availability Monday through Friday, 8:00 AM โ 5:00 PM Central Standard Time (CST) โข Must reside within a reasonable commuting distance of The Woodlands, TX โข High school diploma or equivalent required; Associate's degree preferred
PREFERRED QUALIFICATIONS
โข Certification: CPC, CCA, CCS, or equivalent โข Experience coding for mammogram and/or ultrasound procedures โข Experience with Remote Patient Monitoring (RPM) billing โข Prior experience handling A/R follow-ups and denial management โข Familiarity with HEDIS quality measures and documentation standards
SKILLS & COMPETENCIES
โข Exceptional attention to detail and organizational skills โข Strong written and verbal communication skills โข Excellent computer literacy and technical proficiency โข Ability to work independently and collaboratively within a clinical team โข Strong problem-solving skills with a proactive approach โข Ability to multitask effectively in a fast-paced environment
If you are dedicated to enhancing healthcare documentation accuracy, improving collections, and maintaining billing compliance, we'd love to hear from you!
Join our supportive team and grow with an expanding practice committed to exceptional patient care.
โ ๏ธ Reminder: Any individual or company reaching out outside of this platform will be automatically disqualified.
Flexible work from home options available.