Medical Biller & Coder

AAPC; Raleigh (NC); On-site; USD 54,000 - 70,000; Full time

Job summary

Wake County Health and Human Services in Raleigh, NC seeks a Medical Biller & Coder to ensure accurate coding and billing for public health and clinic services. You will interact daily with clinic administration to bill and collect payments, maintaining data elements in the practice management system.

The role handles CPT, ICD9/10, HCPCS, and modifiers across multiple payer types, processes denials and adjustments, and responds to questions from patients and insurers.

Qualifications

• Accurate coding and billing across CPT, ICD9/10, HCPCS, and modifiers.
• Process claims for multiple payer types (Commercial, Medicare, Medicaid, etc.).
• Review accounts for Medicare/Medicaid and rebill denied claims.
• Research adjustments to client accounts.
• Handle billing inquiries from patients, staff, and insurers.
• Follow federal and state provider billing guidelines.
• Post payments and prepare daily deposits.

Responsibilities

• Performs accurate and timely coding and billing (CPT, ICD9, ICD10, HCPCS, modifiers)
• Process claims for multiple payer types and elevates issues to the Coding Supervisor
• Review outstanding accounts for Medicare, Medicaid and insurances and rebill denied claims
• Researches and complete necessary adjustments to client accounts
• Handles billing inquiries by phone, mail and/or in person from patients and insurers
• Follow federal and state and provider billing guidelines
• Receive payments remitted and log in payments received
• Post payments and adjustments to accounts
• Prepare daily deposits

Skills

CPT/ICD coding

HCPCS/modifiers

Billing & follow-up

Denials management

Job description

Medical Biller & CoderWake County Health and Human Services is looking for a talented Medical Biller & Coder who values others in their community and can work with great attention to detail! The Medical Biller & Coder position is part of a team responsible for billing claims for Public Health and Health Clinic services, which includes supporting and interacting daily with clinic administration to ensure that all of the data elements necessary to successfully bill and collect payment for each claim. This includes ensuring patient, demographic, payer, provider, diagnoses and procedure codes are correctly recorded in the practice management system. They will be responsible for validating, preparing and submitting patient billing and insurance information for first and third party billing, review records of medical billing and claims, denials, settlements and medical insurance and respond to questions from patients, clerical staff and insurance companies, as well as identify and resolve patient billing complaints.

Essential Functions

• Performs accurate and timely coding and billing (CPT, ICD9, ICD10, HCPCS, modifiers)
• Process claims for multiple payer types (Commercial, Managed Care, Blue Cross, Medicare, Medicaid, etc.) and elevates issues, as appropriate, to the Coding Supervisor
• Review outstanding accounts for Medicare, Medicaid and insurances and rebill denied claims
• Researches and complete necessary adjustments to client accounts
• Handles billing inquires by phone, mail and/or in person from patients, county staff (clinical & administrative), insurance companies, Medicaid, Medicare, state and federal officials
• Follow federal and state and provider billing guidelines
• Receive payments remitted electronically, by mail, by phone and occasionally in person and log in payments received
• Post payments and adjustments to accounts
• Prepare daily deposits

Location: HSC Somerset Raleigh, NC 27609

Employment Type: Regular

Work Schedule: Mon - Fri 8:30am - 5:15pm

Hiring Range: 26.07 - 33.55

Market Range: 26.07 - 33.55

Posting Closing Date: 7:00 pm on 9/28/2026

What Makes Wake Great

Consistently ranked high among the best places to live and work in America, Wake County is the proud home to NC State University, Research Triangle Park, and the two-time Stanley Cup Champion Carolina Hurricanes, winners in 2006 and 2026. In addition to being Wake County's seat of government, Raleigh is also the center of state government, with the Capitol Building, legislature and many state government offices located in Raleigh. With an estimated population of just over 1.2 million residents, Wake County is North Carolina's most populous county. Entertainment, recreation, and art and culture abound with the North Carolina Museum of Art, JC Raulston Arboretum, and the Neuse River Trail all in the heart of Wake County. Wake County Government came in at #2 on the Healthiest Employers list for 2024. This year, US News & World Report ranked Raleigh #5 on its list of Best Places to Live, and the Milken Institute ranked Raleigh #1 on its 2025 list of Best-Performing Cities.

Equal Opportunity Statement

Wake County provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.

Background Check Statement

Position may require a background check that may include: criminal, credit, motor vehicle, education, and sexual offender registry or others based on job requirements. Unless required by state law, a record of conviction will not automatically exclude you from consideration for employment. Wake County Government is an Equal Opportunity Employer.

Emergency Service Worker Statement

In the event of an emergency, as determined by the County Manager or designee, participation in preparedness and response operations should be expected. Employee may be required to fill a temporary assignment in a role different from standard duties, work hours and/or work location in preparation for, during and after the emergency. Employee may also be required to participate in relevant exercises and regular preparedness training.