Remote Medical Billing & Coding Specialist

AAPC; Saginaw (MI); Hybrid; USD 42,000 - 64,000; Full time

Benefits offered by this job

Remote work option

Job summary

AAPC is seeking a detail-oriented Medical Billing Specialist to manage claims submission, coding, and payer communications. The role requires accuracy in ICD-10, CPT, and HCPCS, and familiarity with EHR/EMR systems.

You will generate cost estimates, review data for accuracy, resolve denials, and assist patients with billing questions while ensuring HIPAA compliance. This position offers flexible work-from-home options depending on experience.

Qualifications

• High school diploma required; associate degree preferred.
• CPC or CCS certification strongly preferred.
• Minimum 2 years in medical billing, coding, and insurance follow-up.
• Strong knowledge of ICD-10, CPT, HCPCS coding.
• Proficiency with EHR/EMR systems and billing software.

Responsibilities

• Process and submit medical claims to insurers and government payers.
• Code procedures and diagnoses using ICD-10, CPT, HCPCS.
• Generate cost estimates based on coverage and contracts.
• Review billing data in EHR/EMR before submission.
• Resolve billing discrepancies and denials; prepare appeals.
• Communicate with patients about billing and coverage.
• Maintain HIPAA compliance and up-to-date payer guidelines.
• Collaborate with clinical staff to ensure accurate documentation.
• Monitor accounts receivable and follow up on outstanding claims.

Skills

Medical billing

Medical coding

HIPAA compliance

Communication skills

Attention to detail

Problem solving

Education

Associate's degree in Healthcare Administration, Billing & Coding

CPC certification

CCS certification

2+ years experience in medical billing

Tools

Epic

Meditech

PrognoCis

EHR/EMR systems

Claims submission software

Job description

AAPC is seeking a detail-oriented Medical Billing Specialist to manage claims submission, coding, and payer communications. The role requires accuracy in ICD-10, CPT, and HCPCS, and familiarity with EHR/EMR systems.

You will generate cost estimates, review data for accuracy, resolve denials, and assist patients with billing questions while ensuring HIPAA compliance. This position offers flexible work-from-home options depending on experience.