Remote Medical Biller & Coder — Reimbursements Expert

Modena Health; United States; Remote; USD 45,000 - 65,000; Full time

Job summary

Modena Health is seeking a Medical Billing and Coding Specialist in the United States. You will review provider documentation for accuracy, assign ICD-10-CM, CPT and HCPCS codes for visits, procedures and tests, and prepare and submit clean claims to insurers.

You will monitor claim status, handle denials, rebills and appeals, ensuring timely reimbursement and HIPAA compliance. Preferred candidates have experience in allergy, immunology or related specialties and familiarity with EMR and

Qualifications

• Strong knowledge of ICD-10-CM, CPT and HCPCS coding.
• Experience submitting claims and managing denials.
• Proficiency with EMR and practice management software.

Responsibilities

• Review provider documentation for accuracy and completeness.
• Assign ICD-10-CM, CPT and HCPCS codes for visits, procedures, testing and treatments.
• Prepare and submit clean claims electronically to insurance carriers.
• Review claim edits, rejections, EOBs and ERA postings; assist with corrections, rebilling and appeals.
• Monitor claim status and ensure timely reimbursement.
• Code and bill allergy testing, immunotherapy, biologic injections and pulmonary function testing.
• Ensure compliance with HIPAA, payer policies and federal regulations.
• Participate in internal audits and quality assurance reviews.

Skills

ICD-10-CM coding

CPT coding

HCPCS coding

Medical terminology

Claim submission

Denial management

Education

High school diploma or GED

Tools

EMR software

Job description

Modena Health is seeking a Medical Billing and Coding Specialist in the United States. You will review provider documentation for accuracy, assign ICD-10-CM, CPT and HCPCS codes for visits, procedures and tests, and prepare and submit clean claims to insurers.

You will monitor claim status, handle denials, rebills and appeals, ensuring timely reimbursement and HIPAA compliance. Preferred candidates have experience in allergy, immunology or related specialties and familiarity with EMR and