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Administrative
Medical Biller
Ontario, CA
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Medical Coder and Biller Quanitx Health Ontario, CA Job Details Contract $50,000 - $65,000 a year 5 hours ago Qualifications Medicare HIPAA Certified Professional Coder Certified Coding Associate Certified Coding Specialist Medical Billing Certification Full Job Description Job Overview We are seeking an experienced and detail-driven Medical Biller & Coder to manage the full revenue cycle across a diverse client base of medical practices. In this pivotal role, you will own charge entry, coding, claim submission, denial management, and payment reconciliation across multiple specialties and payer types. Your expertise will drive clean-claim rates, reduce denials, and accelerate collections for the practices we serve. This position offers an exciting opportunity to work across primary care, specialty, and ancillary billing environments, adapt to a range of EHR and billing platforms, and directly impact client revenue through precision, accountability, and strong payer knowledge. Responsibilities Perform charge entry, claim submission, and clean-claim review across multiple medical specialties to ensure timely and accurate reimbursement Assign and verify CPT, ICD-10, and HCPCS codes and modifiers with specialty-specific accuracy in accordance with current coding guidelines Manage denials end to end, including root-cause analysis, corrections, resubmissions, and payer appeals to recover outstanding revenue Post payments and reconcile EOBs and ERAs against expected reimbursement to identify underpayments and discrepancies Work accounts receivable aging by following up on unpaid and underpaid claims, escalating payer issues, and reducing days in AR Process claims for both commercial payers (BCBS, Aetna, United, Cigna) and government payers (Medicare, Medicaid/Medi-Cal), including managed care and capitated arrangements Support patient billing, statements, and account inquiries while maintaining professionalism and compliance with company policies Skills Proven medical billing and coding experience across two or more specialties with a focus on full revenue cycle management Strong command of CPT, ICD-10, HCPCS, modifiers, and payer-specific billing rules and requirements Coding certification (CPC, CCS, CPB, or equivalent) with the ability to code accurately across varied clinical settings Demonstrated denial management and appeals experience, not limited to routine claim submission Proficiency with multiple EHR and practice management systems (Tebra/Kareo, Practice Fusion, CollaborateMD, or similar) Working knowledge of both fee-for-service and managed care/capitated billing models Excellent attention to detail with the ability to manage multiple clients and priorities without sacrificing accuracy Organizational skills essential for tracking claims, AR follow-up, and reconciliation across accounts HIPAA awareness and a professional approach to handling protected health information Join our team as a Medical Biller & Coder where your expertise will directly protect and grow the revenue of the practices we serve. Bring your coding precision combined with your denial management and payer knowledge to help deliver world-class revenue cycle management. This role rewards results, offering performance incentives tied to measurable outcomes such as collections targets, denial-rate reduction, clean-claim rate, and successful appeal recoveries. Your proactive, accountable approach will be instrumental in driving client success while contributing to a growing company built on accuracy, ownership, and doing right by our clients.
Pay:
$50,000.00 - $65,000.00 per year
License/Certification:
Certified Professional Coder (Required) Certified Coding Associate (Required) Medical Billing Certification (Required)