Senior Medical Biller & Coder (Inpatient & Outpatient RCM Specialist) AvedaMed Maplewood, NJ Job Details Full-time $30 - $34 an hour 1 hour ago Benefits Health insurance 401(k) Qualifications Appeals Teamwork Inpatient experience Medicare Medical coding experience in outpatient clinics Certified Professional Coder Certified Coding Specialist Full Job Description Position Overview AvedaMed, LLC is seeking a highly experienced Medical Biller & Coder to manage all aspects of the revenue cycle across both inpatient and outpatient services. This role is responsible for the full lifecycle of claims processing, from charge capture through final payment resolution. This is a critical operational role. Only candidates with demonstrated, hands-on experience in end-to-end Revenue Cycle Management will be considered. Position Requirements (Non-Negotiable) Minimum 5+ years of direct medical billing and coding experience Proven experience with both inpatient and outpatient claims Demonstrated ownership of full-cycle RCM functions On-site presence required — this is a fully in-person position No entry-level or partially trained candidates will be considered Athena/RXNT Experience a plus Core ResponsibilitiesCoding & Charge Integrity Accurately assign CPT, ICD-10, and HCPCS codes for inpatient and outpatient encounters Ensure documentation supports all coding and billing activity Perform charge reconciliation to confirm all services are captured and billed Claims Submission & Management Prepare, scrub, and submit clean claims through clearinghouse systems Ensure compliance with payer-specific billing requirements Monitor claims from submission through adjudication Denials & Accounts Receivable Investigate, correct, and appeal denied or underpaid claims Actively work insurance A/R , prioritizing aging and high-value accounts Identify denial trends and implement corrective actions Payment Posting & Reconciliation Post EOBs/ERAs accurately, including adjustments and patient responsibility Reconcile payments against expected reimbursement Identify and escalate discrepancies or underpayments Patient Billing & Collections Manage patient statements and balance resolution Address billing inquiries and coordinate payment plans as needed Reporting & Accountability Track and report on key performance metrics, including: Days in A/R Denial rates First-pass acceptance rate Net collection percentage Provide regular updates to leadership on revenue cycle performance Qualifications Minimum 5+ years of experience in medical billing and coding (required) Strong working knowledge of:

CPT, ICD-10, HCPCS

coding Inpatient and outpatient billing workflows Commercial, Medicare, and Medicaid payer guidelines Experience with EHR/PM systems and clearinghouse platforms Certification (CPC, CCS, or equivalent) preferred Work Environment Fully in-person role — no remote or hybrid option High-accountability, performance-driven environment Direct collaboration with clinical, administrative, and leadership teams Compensation Competitive salary based on experience Performance-based incentives tied to revenue cycle outcomes Benefits package available

Pay:

$30.00 - $34.00 per hour

Benefits:

401(k) Health insurance

Work Location:

In person