Remote Billing & Coding Coordinator

Family Care Center; Colorado; On-site; USD 34,000 - 37,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Fertility benefits

Retirement plan

Wellness program

Profit sharing

Job summary

Family Care Center is seeking a Billing and Coding Coordinator for remote work to manage posting charges, submitting claims, and performing coding reviews to ensure compliance with CPT, ICD-10 and HCPCS guidelines.

You will work with providers, resolve denials, stay updated on CMS changes, train staff, and maintain accurate records. A high school diploma is required; CPC is preferred.

Qualifications

• High school diploma or equivalent required.
• Associate degree preferred.
• Two years progressively responsible clerical experience in a healthcare setting required.
• Experience with payer portals, clearinghouses or other healthcare systems preferred.
• Experience with Microsoft Office Suite required.
• Certified Professional Coder (CPC) preferred.

Responsibilities

• Submit clean electronic and paper claims to payers.
• Conduct coding reviews to ensure compliant CPT, CID-10 and HCPCS coding in alignment with payer guidelines and regulatory requirements.
• Audit Software Oversight- Auditing claims with audit software to identify trends, discrepancies, and opportunities for revenue optimization
• Identify and correct coding errors prior to claim submission to reduce denials, errors and rejections.
• Investigate and resolve claims submission problems with third-party payers and review new and existing third-party claims processing information.
• Analyze and respond to claim denials related to coding and documentation issues, working with providers and clinical staff to obtain necessary corrections.
• Review, adjust, and edit insurance coverage, bills, and statements to ensure accuracy.
• Stay up to date with coding and billing regulation changes to maintain compliance with CMS and commercial payer guidelines.
• Take phone calls from internal and external customers, answering questions, taking payments, and resolving billing and coding-related issues.
• Assist in training and educating providers and staff on coding and documentation best practices.
• Maintain accurate records of billing and coding activities, including tracking and reporting trends in claim denials and rejections.

Skills

Healthcare clerical experience

CPC certification

Education

High school diploma or equivalent

Associate degree

Tools

Microsoft Office Suite

Payer portals

Clearinghouses

Job description

Family Care Center is seeking a Billing and Coding Coordinator for remote work to manage posting charges, submitting claims, and performing coding reviews to ensure compliance with CPT, ICD-10 and HCPCS guidelines.

You will work with providers, resolve denials, stay updated on CMS changes, train staff, and maintain accurate records. A high school diploma is required; CPC is preferred.