Medical Biller & Coder 1 – Remote (Mexico)

American HomeStays LLC; México; A distancia; MXN 602.202 - 860.289; A tiempo parcial

Descripción de la vacante

American HomeStays LLC is looking for a Medical Biller & Coder based in Mexico. This remote role involves executing accurate and compliant billing and coding services for outpatient mental health centers. Candidates should possess a minimum of 2–4 years of U.S. medical billing and coding experience and knowledge of CPT and ICD-10-CM coding.

The position offers flexibility in working conditions and emphasizes collaboration across time zones with U.S.-based leadership. Candidates must also demonstrate strong attention to detail and effective communication skills.

Formación

• Minimum 2–4 years of U.S. medical billing and coding experience.
• Working knowledge of CPT, ICD-10-CM, and basic HCPCS coding.
• Familiarity with U.S. insurance, Medicaid, and managed care billing processes.

Responsabilidades

• Execute accurate and compliant billing and coding services.
• Translate clinical documentation into diagnosis and procedure codes.
• Support end-to-end revenue cycle operations for outpatient clients.

Conocimientos

U.S. medical billing and coding experience

Outpatient mental health billing experience

Attention to detail

Strong written and verbal English communication skills

Educación

Professional coding certifications (CPC or equivalent)

Descripción del empleo

DISCLOSURES

The specific statements shown in each section of this job description are not intended to be all-inclusive. They represent typical elements and criteria considered necessary to perform the job successfully. The job’s responsibilities/tasks may be modified and/or expanded over time. The company will inform the personnel member when changes in the respective job description are made.

About Freedom Health Systems, Inc

Freedom Health Systems, Inc. is a mission-driven healthcare advisory and management consulting firm that partners with behavioral health and human services organizations to improve access, equity, and operational excellence. We specialize in guiding providers through program development, accreditation, compliance, and clinical best practices.

Medical Biller & Coder 1 (Team A) – Remote (Mexico)

This role is a Mexico-based independent contractor engagement. Compensation is listed in USD with local currency equivalent.

Service Overview

Remote LATAM role. This particular role is a Mexico-based independent contractor engagement.

SCOPE OF ASSIGNMENT

The Medical Biller & Coder is responsible for executing accurate, compliant, and timely billing and coding services to support end-to-end revenue cycle operations for outpatient mental health center clients.

Summary of Contract Scope

The Medical Biller & Coder provides medical billing and coding services for outpatient mental health center clients. This includes translating clinical documentation into accurate diagnosis and procedure codes, entering charges, submitting claims, correcting errors, and supporting accounts receivable workflows. All services are performed under the functional oversight and quality review of the Medical Billing & Coding Analyst 1 (Team Lead – Team A) and are a critical component of the Revenue Cycle Management process.

CORE SCOPE OF WORK & DELIVERABLES

• Review clinical documentation to confirm required elements are present prior to billing (signed notes, treatment plans, service dates, units, provider credentials)
• Assign accurate CPT, ICD‑10‑CM, and applicable HCPCS codes based on documentation
• Enter charges accurately into the EHR or billing system
• Submit claims timely and in compliance with payer‑specific requirements
• Verify patient demographics, insurance information, and payer details prior to claim submission
• Identify and correct claim rejections, coding errors, and data entry issues
• Support denial resolution activities by correcting coding or documentation issues as directed
• Ensure all services rendered are captured and billed; evade suspected missed charges
• Maintain organized, audit‑ready billing records and supporting documentation
• Adhere to workflows, quality standards, and productivity expectations established by the Team Lead
• Communicate documentation gaps, authorization issues, or system barriers promptly to the Team Lead

UNSCHEDULED / SUPPORT DUTIES

• Assist with billing backlogs or high‑volume periods
• Support internal quality assurance reviews and audits
• Participate in training, coaching, and cross‑training activities
• Provide coverage for essential billing tasks during team member absences
• Support process improvement initiatives related to billing accuracy and turnaround time

Technology, Data Security & Monitoring Requirements

• All work must be performed exclusively on the assigned Amazon Workstation (AWS virtual workstation) authorized by Freedom Health Systems.
• Use of personal devices, local storage, screenshots, external email forwarding, or unauthorized systems is strictly prohibited.
• The Amazon Workstation environment is monitored by the Company for security, compliance, productivity, and quality assurance purposes.
• System access logs, activity monitoring, and usage metrics may be reviewed to ensure compliance with HIPAA, client contracts, and Company policies.
• Failure to comply with technology, security, or monitoring requirements may result in immediate termination of the contract.

KEY PERFORMANCE INDICATORS (KPIs)

• Coding accuracy rate
• Charge entry accuracy and completeness
• Clean claim submission rate
• Claim rejection rate
• Timeliness of claim submission
• Error correction and resubmission turnaround time
• Audit findings and error trends
• Adherence to established workflows and instructions
• Responsiveness to Team Lead requests and escalations

PHYSICAL DEMANDS

• Prolonged periods sitting at a desk and working on a computer
• Continuous use of EHR and billing platforms
• Frequent virtual communication via chat, phone, or video

WORKING CONDITIONS

• Fully remote (Mexico‑based) via assigned Amazon Workstation
• Production‑driven, deadline‑oriented revenue cycle environment
• Collaboration across time zones with U.S.‑based leadership and client operations

Required Qualifications & Expertise

• Minimum 2–4 years of U.S. medical billing and coding experience
• Outpatient mental health or behavioral health billing experience preferred
• Working knowledge of CPT, ICD‑10‑CM, and basic HCPCS coding
• Familiarity with U.S. insurance, Medicaid, and managed care billing processes
• Strong attention to detail and accuracy
• Ability to follow defined workflows and quality standards
• Strong written and verbal English communication skills
• Experience working in secure virtual workstation environments preferred
• Professional coding certifications (CPC or equivalent) preferred