MEDICAL BILLING SPECIALIST

Valid8 Financial, Inc.; Las Vegas (NV); On-site; USD 52,000 - 68,000; Full time

Benefits offered by this job

Competitive pay & benefits

Professional growth opportunities

Collaborative team environment

Job summary

New Horizon Billing Solutions (NHBS) in Las Vegas, NV is seeking a Certified Medical Coder to translate patient records into ICD-10-CM, CPT, and HCPCS codes. This role ensures accurate billing and compliance with federal, state, and payer regulations while supporting coding audits and reviews.

The coder will review documentation, resolve discrepancies with providers, and maintain HIPAA confidentiality in a fast-paced revenue cycle environment.

Qualifications

• High school diploma or GED required.
• 2+ years of medical coding or healthcare administration experience.
• Strong knowledge of medical terminology, anatomy and physiology.
• Proficiency with EHRs (e.g., Tebra, eClinicalWorks, ModMed, DrChrono) and coding/encoder software (e.g., 3M).
• Familiarity with Medicare LCD/NCD coverage guidelines.

Responsibilities

• Review medical records and assign accurate ICD-10-CM, CPT and HCPCS codes.
• Collaborate with providers to clarify documentation and resolve discrepancies.
• Submit coded data for claim generation and reimbursement while ensuring coding accuracy.

Skills

Attention to detail

Communication

Organizational skills

Microsoft Office

Education

High school diploma or GED

Associate's degree in health information management

Tools

eClinicalWorks

Tebra

ModMed

DrChrono

3M Encoder

Job description

Company: New Horizon Billing Solutions (NHBS)

Department: Medical Billing – Revenue Cycle Management (RCM)

Location: In-Office / On-Site – Las Vegas, NV

Schedule: Monday – Friday, 9:00 AM – 5:00 PM

Employment Type: Full-Time

POSITION SUMMARY

The Certified Medical Coder is responsible for reviewing patient medical records and accurately translating diagnoses, procedures, and healthcare services into standardized ICD-10-CM, CPT, and HCPCS codes. This role ensures accurate billing, proper insurance reimbursement, compliance with federal, state, and payer regulations (including LCD/NCD guidelines), and efficiency across revenue cycle operations. The coder collaborates closely with providers, the billing team, and the auditing function to clarify documentation, resolve discrepancies, and support coding audits and reviews.

KEY RESPONSIBILITIES

Coding & Documentation Review

• Review medical records and assign accurate diagnosis and procedure codes (ICD-10-CM, CPT, HCPCS).
• Collaborate with healthcare providers to clarify documentation, issue provider queries, and resolve discrepancies.
• Submit coded data for claim generation and insurance reimbursement, ensuring codes are correct for billing purposes.

Compliance & Auditing

• Ensure compliance with federal and state regulations, payer policies, and LCD/NCD coverage guidelines.
• Support coding audits, chart reviews, and documentation assessments to ensure accuracy and audit readiness.
• Maintain strict confidentiality and uphold HIPAA regulations at all times.

Continuing Standards

• Stay current on changes in coding standards, annual code set updates, LCD/NCD guidelines, and industry best practices.
• Support education and feedback to providers and billing staff on documentation and coding requirements.

REQUIRED QUALIFICATIONS & EXPERIENCE

• High school diploma or GED required.
• 2+ years of experience in medical coding or healthcare administration.
• Strong knowledge of medical terminology, anatomy, and physiology.
• Proficiency with electronic health records (e.g., Tebra, eClinicalWorks, ModMed, DrChrono) and coding/encoder software (e.g., 3M).
• Familiarity with Medicare LCD/NCD coverage guidelines.

PREFERRED QUALIFICATIONS (INDUSTRY STANDARD)

• Associate's degree in health information management or a related field.
• Additional credentials such as AAPC COC (outpatient) or CRC (risk adjustment), or AHIMA RHIT.
• Experience supporting coding audits and compliance reviews.
• Specialty experience in wound care documentation and coding is a plus but not required.
• Commitment to continuing education to maintain certification and stay current with coding updates.

SKILLS & COMPETENCIES

• Exceptional attention to detail and analytical skills.
• Excellent communication and organizational abilities, including professional provider-facing communication.
• Ability to manage productivity and accuracy standards in a deadline-driven environment.
• Proficiency with Microsoft Office programs (Word, Excel, Outlook).

COMPENSATION

Estimated Salary Band: $52,000 – $68,000 per year (approx. $25.00 – $32.70/hour)

Estimated banding based on current market data (ZipRecruiter Las Vegas certified coder average ~$52,700; AAPC 2026 salary survey: Nevada CPC average ~$61,000, certified coding professionals ~$67,300 nationally; September 2026). Final offer to be commensurate with certification(s), specialty experience, and auditing capability.

WORK ENVIRONMENT & PHYSICAL REQUIREMENTS

• Professional office environment; prolonged periods of sitting at a desk and working on a computer.
• Fast-paced, deadline-driven setting requiring sustained attention to detail and strict confidentiality of protected health information (PHI) under HIPAA.

WHY JOIN NHBS

• Competitive pay and comprehensive benefits.
• Supportive, collaborative team environment.
• Opportunities for professional growth, continuing education, and advancement.

New Horizon Billing Solutions is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.