Medical Coder and Biller

Job Summary We are seeking a detail-oriented and experienced Medical Coder to join our Family Practice team. In this role, you will be responsible for translating healthcare services—ranging from routine wellness exams and chronic disease management to minor office procedures—into standardized medical codes. Your expertise will ensure accurate billing, compliance with federal regulations, and optimal reimbursement for our providers.

Key Responsibilities Coding Accuracy:

Review clinical documentation and assign appropriate ICD-10-CM, CPT, and HCPCS codes for a wide variety of family medicine services.

E/M Proficiency:

Expertly audit and assign Evaluation and Management (E/M) levels for outpatient visits, ensuring documentation supports the complexity of care.

Claim Scrubbing:

Identify and resolve coding errors, clinical overlaps, or missing documentation before claims submission to minimize denials.

Provider Feedback:

Act as a bridge between the clinical and billing teams, providing feedback to physicians on documentation quality and coding trends (e.g., HCC coding for Medicare Advantage).

Compliance:

Maintain strict adherence to HIPAA regulations and stay updated on annual coding changes and OIG work plan requirements.

Required Qualifications & Skills Certification:

Current CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist - Physician-based) is required.

Experience:

Minimum of 2-3 years of medical coding experience, specifically within Family Practice or Internal Medicine .

Knowledge:

Deep understanding of anatomy, medical terminology, and the nuances of preventative care vs. problem-oriented visits.

Technical Skills:

Proficiency with Electronic Health Records (EHR) systems (e.g., eClinicalWorks, Athenahealth, or Epic).

Analytical Ability:

Strong attention to detail with the ability to spot inconsistencies in high-volume environments. Preferred Qualifications Experience with Risk Adjustment (HCC) coding. Prior experience in a multi-provider private practice setting. Knowledge of local payer policies and Medicare/Medicaid guidelines.

Pay:

$19.00 - $21.00 per hour

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance

Work Location:

In person