Medical Coder and Biller

Village of Healing; Kentucky; On-site; USD 30,000 - 41,000; Part time

Benefits offered by this job

Paid time off

Professional development opportunities

Collaborative work environment

Mission-driven organization

Job summary

Village of Healing is seeking a part-time Revenue Cycle Billing & Coding Specialist to support accurate billing and timely reimbursement. The role focuses on review of patient encounters, correct coding, and ensuring claims are submitted on time.

The position requires experience in medical billing, strong knowledge of CPT/HCPCS/ICD-10-CM, and effective communication with payers and clinicians. In-person work is expected in Cleveland, OH with competitive hourly pay.

Qualifications

• Must have hands-on medical billing or revenue-cycle experience.
• Strong knowledge of CPT/HCPCS/ICD-10-CM coding.
• Experience resolving denied or unpaid claims.
• Familiarity with payer rejections and appeals.

Responsibilities

• Review patient encounters and provider documentation for billing accuracy.
• Assign or validate CPT, HCPCS, and ICD-10-CM codes.
• Submit clean claims within established timelines.

Skills

Attention to detail

Analytical

Communication

Problem solving

Education

High school diploma or equivalent

Tools

CPT

HCPCS

ICD-10-CM

Epic

Job description

Revenue Cycle Billing & Coding Specialist – Part‑Time

Organization: Village of Healing Position Type: Part‑Time Schedule: Monday‑Thursday; 8:30a‑5p Location: Cleveland, Ohio Reports To: Director of Clinical Operations Compensation: $22-$30 per hour, based on experience, qualifications, and certification

About Village of Healing

Village of Healing is a nonprofit healthcare organization committed to providing accessible, high-quality, culturally responsive healthcare and supportive services to individuals and families throughout Northeast Ohio. Our services include women's health, primary care, pediatrics, behavioral health, and integrated support services.

Position Summary

We are seeking an experienced and highly accountable Revenue Cycle Billing & Coding Specialist to support accurate billing, timely reimbursement, denial management, and strong revenue‑cycle performance.

Key Responsibilities

• Review patient encounters and provider documentation for billing accuracy and completeness.
• Assign or validate appropriate CPT, HCPCS, and ICD-10-CM codes.
• Ensure billable encounters are captured and claims are submitted within established timelines.
• Monitor unbilled encounters and outstanding documentation.
• Prepare and submit clean claims to Medicaid, Medicare, Medicaid Managed Care Organizations, commercial insurers, and other payers.
• Monitor rejected, denied, unpaid, and underpaid claims through final resolution.
• Prepare corrected claims, reconsiderations, and appeals when appropriate.
• Follow up with insurance companies regarding claim status and payment.
• Monitor accounts receivable and prioritize follow-up based on age, dollar value, and filing deadlines.
• Prevent avoidable timely‑filing losses.
• Post insurance and patient payments accurately and timely.
• Review remittance information and identify underpayments, adjustments, or discrepancies.
• Identify recurring denial trends and recommend corrective action.
• Identify documentation, coding, registration, credentialing, or payer issues affecting reimbursement.
• Communicate billing and documentation concerns to providers and staff.
• Provide feedback and education regarding recurring coding or documentation issues.
• Maintain clear documentation of work performed and productivity.
• Prepare regular revenue‑cycle reports for the Director of Operations, including claims submitted, denials, unpaid claims, accounts receivable, payments, and outstanding issues.
• Participate in revenue‑cycle and quality‑improvement meetings as needed.
• Maintain HIPAA compliance and patient confidentiality.
• Perform other billing and coding duties as assigned.

Qualifications

• High school diploma or equivalent.
• Previous hands‑on medical billing, coding, accounts receivable, or revenue‑cycle experience.
• Demonstrated experience resolving denied, rejected, and unpaid claims.
• Working knowledge of CPT, HCPCS, and ICD‑10‑CM coding.
• Knowledge of insurance claims, reimbursement, payment posting, and accounts receivable processes.
• Strong attention to detail, organization, and follow‑through.
• Ability to work independently and manage multiple priorities.
• Strong communication, analytical, and problem‑solving skills.
• Ability to maintain confidentiality and appropriately handle protected health information.
• Preferred Medical billing or coding certification such as CPC, CCS, CCA, CPB, or equivalent.
• Three or more years of medical billing, coding, or revenue‑cycle experience.
• Experience with Epic and RSL billing workflows, work queues, claim edits, denials, and accounts receivable.
• Experience with Ohio Medicaid and Ohio Medicaid Managed Care Organizations.
• Experience with Medicare and commercial payers.
• Experience in primary care, women's health, behavioral health, pediatrics, or multispecialty outpatient care.
• Experience identifying credentialing‑related claim issues.

Performance Expectations

• Maintain a high level of billing and coding accuracy.
• Submit claims in a timely manner.
• Consistently follow up on denied, rejected, and unpaid claims.
• Monitor unbilled encounters and outstanding accounts receivable.
• Reduce preventable billing errors and denials.
• Prevent unnecessary timely‑filing losses.
• Accurately post and reconcile payments.
• Identify recurring revenue‑cycle problems and recommend corrective actions.
• Maintain clear documentation of work completed.
• Meet established productivity and quality standards.
• Provide timely revenue‑cycle reporting to the Director of Operations.
• Support Village of Healing's revenue growth and long‑term financial sustainability.

Compensation and Benefits

• $22-$30per hour, based on experience, qualifications, and certification
• Paid time off and holidays
• Professional development opportunities
• Collaborative work environment
• Opportunity to contribute to the financial sustainability and growth of a mission‑driven community organization

Equal Opportunity Statement

Village of Healing is committed to providing equal employment opportunities to all qualified individuals.We value diversity, inclusion, and a workplace environment where employees are treated with dignity and respect.

Pay:$22.00 - $30.00 per hour

Expected hours:32.0 per week

Work Location:In person.