Certified Professional Biller/Certified Professional Coder (Full-Time, Remote, Must Reside in Northeast Florida)

Island Doctors; Florida; Remote; USD 52,000 - 68,000; Full time

Job summary

Island Doctors in St. Augustine, FL is seeking a skilled Medical Billing and Coding Specialist with CPC and CPB credentials. You will review provider documentation, assign ICD-10-CM, CPT, and HCPCS codes, and ensure accurate submissions to Medicare, Medicaid, and commercial payors.

Responsibilities include denial management, payer follow-up, and ongoing education of clinical staff on coding best practices to maintain compliant and efficient revenue cycles.

Qualifications

• CPC and CPB certifications required with knowledge of Medicare guidelines.
• Minimum of 2 years medical billing and coding experience.
• Knowledge of commercial payor guidelines preferred.
• Must reside within commuting distance of St. Augustine, FL.

Responsibilities

• Code medical records with ICD-10-CM, CPT, and HCPCS per guidelines.
• Prepare and submit clean claims to Medicare, Medicaid, and commercial payors.
• Research and resolve denied or underpaid claims and follow up to resolution.
• Monitor compliance with CMS and payer guidelines and educate providers.
• Support AR and revenue cycle activities to improve collections and reduce denials.

Skills

CPC certification

CPB certification

Medicare guidelines

Commercial payors

2+ years experience

2+ years experience

Job description

Qualifications

• AAPC Certified Professional Coder (CPC) and Certified Professional Biller (CPB) required.
• Knowledge of Medicare billing guidelines required.
• Knowledge of commercial payor guidelines preferred.
• Minimum of 2 years of medical billing and coding experience required.
• Applicants should live within reasonable commuting distance of St. Augustine, FL to be available to attend required in person meetings.

Responsibilities

• Medical Coding and Documentation Review – Review provider documentation and accurately assign ICD-10-CM, CPT, and HCPCS codes in accordance with current coding guidelines, payer requirements, and regulatory standards.
• Claims Preparation and Submission – Review, prepare, and submit clean claims to Medicare, Medicaid, and commercial insurance carriers, ensuring accurate coding, patient information, modifiers, and billing details to support timely reimbursement.
• Denial Management and Claim Follow-Up – Research denied, rejected, or underpaid claims; identify root causes; make necessary coding or billing corrections; submit appeals when appropriate; and follow claims through resolution.
• Coding Compliance and Provider Education – Monitor coding and billing practices for compliance with CMS and payer guidelines, identify documentation or coding deficiencies, and communicate with providers and clinical staff regarding documentation requirements and coding best practices.
• Accounts Receivable and Revenue Cycle Support – Monitor outstanding insurance accounts, work aging reports, resolve billing discrepancies, and collaborate with internal teams and payers to improve collections, reduce denials, and support an efficient revenue cycle.