Remote Medical Billing Specialist — Coding & Reimbursement

AAPC; Layton (UT); Hybrid; USD 38,000 - 60,000; Full time

Job summary

AAPC is seeking a detail-oriented Medical Billing Specialist with strong expertise in medical billing, coding, and insurance processes. You will handle ICD-10, CPT, and HCPCS coding, generate cost estimates, and ensure accurate reimbursement within EHR/EMR workflows.

The ideal candidate will manage claims, appeals, and payer requirements while communicating effectively with patients and providers. Remote-work option may be available based on experience.

Qualifications

• High school diploma or equivalent required; Associate's degree preferred in Healthcare Administration, Billing & Coding, or related field.
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification strongly preferred.
• Minimum of 2 years of experience in medical billing, coding, insurance follow-up, and working within EHR/EMR systems.
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
• Hands-on experience with EHR/EMR systems including Epic, Meditech, PrognoCis.

Responsibilities

• Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations.
• Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses.
• Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements.
• Review and verify accuracy of billing data within EHR/EMR systems prior to claim submission.
• Utilize EHR/EMR platforms (Epic, Meditech, PrognoCis) for documentation, coding, and billing workflows.
• Research and resolve billing discrepancies or claim denials.
• Prepare and submit insurance appeals, ensuring compliance with payer guidelines.
• Communicate with patients regarding billing questions, payment responsibilities, and insurance coverage.
• Maintain up-to-date knowledge of medical terminology, payer requirements, and compliance regulations (HIPAA, CMS, etc.).
• Collaborate with clinical staff and providers to ensure accurate coding and documentation within electronic systems.
• Track accounts receivable and follow up on outstanding claims to maximize revenue.

Skills

Medical terminology

ICD-10 coding

CPT/HCPCS coding

Cost estimation

EHR/EMR proficiency

Insurance processing

Communication skills

Billing disputes resolution

Education

High school diploma

Associate's degree preferred

CPC/CCS certification

Tools

Epic

Meditech

PrognoCIS

Job description

AAPC is seeking a detail-oriented Medical Billing Specialist with strong expertise in medical billing, coding, and insurance processes. You will handle ICD-10, CPT, and HCPCS coding, generate cost estimates, and ensure accurate reimbursement within EHR/EMR workflows.

The ideal candidate will manage claims, appeals, and payer requirements while communicating effectively with patients and providers. Remote-work option may be available based on experience.