Medical Biller & Coder

Woodlands Primary Health Care; Spring (TX); Hybrid; USD 45,000 - 60,000; Full time

Benefits offered by this job

401(k)

Health insurance

Paid time off

Employee discounts

Bonus based on performance

Competitive salary

Job summary

Woodlands Primary Health Care is looking for an experienced Medical Biller and Coder to join our team in Spring, Texas. The ideal candidate should have 3–5 years of experience in medical billing and coding, particularly in family or internal medicine. Responsibilities include accurate coding, preparing insurance claims, and managing accounts receivable. Flexible work from home options are available, but candidates must reside within reasonable commuting distance of The Woodlands.

If you have a proven track record in coding and a thorough understanding of ICD-10, CPT, and HCPCS systems, we would love to hear from you!

Qualifications

• Minimum 3–5 years experience in medical billing and coding, specifically in family or internal medicine.
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
• Comprehensive understanding of medical terminology and billing regulations.

Responsibilities

• Accurately code diagnoses, procedures, and visit documentation using ICD-10, CPT, and HCPCS coding systems.
• Prepare and submit insurance claims in a timely manner.
• Monitor accounts receivable and follow up on unpaid claims.

Skills

Attention to detail

Communication skills

Technical proficiency

Problem-solving skills

Ability to multitask

Education

High school diploma or equivalent

Associate's degree preferred

Tools

eClinicalWorks (eCW)

Trizetto

Availity

Job description

Benefits

• 401(k)
• 401(k) matching
• Bonus based on performance
• Competitive salary
• Employee discounts
• Health insurance
• Paid time off

Woodlands Primary Healthcare is seeking an experienced Medical Biller and Coder to join our growing family medicine practice. We are looking for a detail-oriented professional with proven expertise in medical billing, coding, revenue cycle management, and a strong background in family or internal medicine.

This position is in-person or hybrid. Candidates must reside within a reasonable commuting distance of The Woodlands, TX. Fully remote candidates will not be considered.

Important: Any individual or company reaching out about this position outside of this platform will be automatically disqualified.

Key Responsibilities

• Accurately code diagnoses, procedures, and visit documentation using ICD-10, CPT, and HCPCS coding systems
• Review and audit daily charts to ensure complete, accurate, and compliant coding
• Prepare and submit insurance claims to payers in a timely and compliant manner
• Monitor and manage accounts receivable (A/R), including follow-ups on unpaid claims, rejections, and denials
• Investigate and resolve billing discrepancies with insurance providers
• Communicate effectively with the clinical team to clarify coding and documentation requirements
• Maintain comprehensive and confidential patient records in accordance with HIPAA guidelines
• Support revenue cycle processes to maximize reimbursements

Required Qualifications

• Minimum 3–5 years of hands-on experience in medical billing and coding, specifically in family or internal medicine
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems
• eClinicalWorks (eCW) experience is required — please specify when you last used it and in what capacity
• Familiarity with Trizetto (Gateway EDI) for claims submission and clearinghouse management
• Experience with Availity for eligibility verification, claim status, and ERA/EOB retrieval
• Comprehensive understanding of medical terminology and billing regulations
• Full availability Monday through Friday, 8:00 AM – 5:00 PM Central Standard Time (CST)
• Must reside within a reasonable commuting distance of The Woodlands, TX
• High school diploma or equivalent required; Associate's degree preferred

Preferred Qualifications

• Certification: CPC, CCA, CCS, or equivalent
• Experience coding for mammogram and/or ultrasound procedures
• Experience with Remote Patient Monitoring (RPM) billing
• Prior experience handling A/R follow-ups and denial management
• Familiarity with HEDIS quality measures and documentation standards

Skills & Competencies

• Exceptional attention to detail and organizational skills
• Strong written and verbal communication skills
• Excellent computer literacy and technical proficiency
• Ability to work independently and collaboratively within a clinical team
• Strong problem-solving skills with a proactive approach
• Ability to multitask effectively in a fast-paced environment

If you are dedicated to enhancing healthcare documentation accuracy, improving collections, and maintaining billing compliance, we'd love to hear from you!

Flexible work from home options available.