Certified Biller & Coder: Claims & Denial Expert

SANATIO HEALTH INC; Oxford (AL); On-site; USD 42,000 - 65,000; Full time

Job summary

Sanatio Health Inc is seeking a detail-oriented Certified Biller/Coder to join our Oxford, AL healthcare team. The role focuses on accurate coding, clean claims submission, and effective denial management to support timely reimbursements.

The ideal candidate has at least 2 years of medical billing and coding experience, with CPC/CCS/CCS-P certification or AHIMA/AAPC credentials and strong knowledge of ICD-10-CM, CPT, HCPCS, HIPAA, and EHR systems.

Qualifications

• Active CPC/CCS/CCS-P certification or equivalent.
• Minimum 2 years medical billing and coding experience.
• Strong knowledge of ICD-10-CM, CPT, HCPCS coding.
• Experience with EHR and billing software.
• Familiarity with HIPAA and denial management.
• Detail-oriented with good organizational skills.
• Ability to work independently in a fast-paced environment.

Responsibilities

• Accurately assign ICD-10, CPT, and HCPCS codes to patient records.
• Prepare and submit clean claims to insurance carriers, Medicare, and Medicaid.
• Review and resolve claim denials, rejections, and appeals in a timely manner.
• Verify patient insurance eligibility and benefits prior to billing.
• Ensure compliance with HIPAA regulations and payer-specific billing guidelines.
• Conduct charge entry, payment posting, and accounts receivable follow-up.
• Collaborate with clinical staff to clarify documentation and resolve coding discrepancies.

Skills

Medical Billing

Medical Coding

HIPAA Compliance

EHR Proficiency

Denial Management

Education

CPC/CCS/CCS-P certification

AHIMA/AAPC credential

Tools

EHR Software

Billing Software

Claims Submission

Job description

Sanatio Health Inc is seeking a detail-oriented Certified Biller/Coder to join our Oxford, AL healthcare team. The role focuses on accurate coding, clean claims submission, and effective denial management to support timely reimbursements.

The ideal candidate has at least 2 years of medical billing and coding experience, with CPC/CCS/CCS-P certification or AHIMA/AAPC credentials and strong knowledge of ICD-10-CM, CPT, HCPCS, HIPAA, and EHR systems.