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Job Description
Full-Time | Hybrid (After Training Period) Position Summary The Medical Coder & Billing Specialist is responsible for reviewing medical documentation, assigning accurate diagnosis and procedure codes, submitting insurance claims, and resolving billing issues to ensure timely reimbursement. This role works closely with providers, clinical staff, and the Revenue Cycle team to support coding accuracy, regulatory compliance, and overall financial performance. Essential Duties & Responsibilities Review provider documentation for completeness and accuracy. Assign appropriate
ICD-10-CM, CPT, HCPCS
Level II, and modifier codes. Ensure coding complies with payer guidelines, Medicare regulations, and company policies. Identify and correct coding errors, missing documentation, and claim discrepancies. Prepare, review, and submit electronic insurance claims. Monitor claim status and follow up on unpaid, denied, or rejected claims. Investigate and resolve claim edits, denials, and underpayments. Post payments, adjustments, and contractual write-offs as appropriate. Communicate with insurance companies regarding claim issues and appeals. Collaborate with providers and clinic staff to obtain additional documentation when necessary. Maintain established productivity and quality standards. Stay current on coding updates, payer changes, and industry regulations. Assist with audits, compliance reviews, and process improvement initiatives. QualificationsEducation & Experience High school diploma or equivalent required; Associate degree preferred. Minimum of two (2) years of medical coding and billing experience in a physician practice or outpatient setting. Experience with commercial insurance, Medicare, and managed care payers required. Experience with electronic health records (EHR) and practice management systems required. Proficiency in Microsoft Office, including Excel and Outlook. Preferred Qualifications Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Professional Biller (CPB) certification preferred. Experience in primary care, family medicine, or multi-specialty practices preferred. Familiarity with clearinghouse systems such as Waystar, TriZetto, or ZirMed preferred. Experience using eClinicalWorks (eCW) strongly preferred. Knowledge, Skills & Abilities Strong knowledge of ICD-10-CM, CPT, HCPCS, and modifier usage. Understanding of insurance claim processing, denial management, and appeals. Excellent attention to detail and organizational skills. Strong analytical and problem-solving abilities. Effective written and verbal communication skills. Ability to manage multiple priorities and meet productivity standards in a fast-paced environment. Key Performance Indicators (KPIs) Maintain a coding accuracy rate of 95% or higher. Submit claims within 48 hours of charge entry. Meet established productivity expectations for coding and billing activities. Resolve assigned claim edits and denials within established turnaround times. Maintain compliance with all payer and regulatory requirements.
Pay:
$20.00-$22.00 per hour, depending on experience
Schedule:
Monday-Friday, Full-Time Work Location:
Keller, TX (Hybrid schedule available after successful completion of training) Be Well Primary Care is an Equal Opportunity Employer and makes employment decisions based on qualifications, merit, and business needs without regard to any protected characteristic under applicable law.
Pay:
$20.00 - $22.00 per hour
Benefits:
Dental insurance Health insurance Paid time off Vision insurance
