Remote Medical Billing Specialist - CPC Certified

AAPC; Lubbock (TX); Hybrid; USD 42,000 - 65,000; Full time

Job summary

AAPC is seeking a detail-oriented Medical Billing Specialist with strong coding and insurance processes. You will handle claims, coding, cost estimates, and appeals while working closely with patients and payers. Experience with Epic, Meditech or PrognoCis is beneficial.

The ideal candidate will have CPC/CCS certifications, 2+ years in medical billing, and excellent communication skills to ensure timely reimbursements and regulatory compliance.

Qualifications

• High school diploma or equivalent; Associate degree preferred.
• CPC or CCS 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 and PrognoCis.
• Familiarity with medical terminology, payer reimbursement guidelines, and healthcare regulations.
• Experience creating cost estimates for medical procedures.
• Experience preparing and submitting appeals for denied claims.
• Proficiency with medical billing software and EHR systems.
• Strong attention to detail, problem-solving, and organizational skills.
• Excellent written and verbal communication skills.

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 (such as 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

Billing & Coding

Attention to detail

Problem-solving

Organizational skills

Excellent written and verbal communica

Education

Associate's degree in Healthcare Administration, Billing & Coding

High school diploma or equivalent

CPC certification

CCS certification

Tools

Epic

Meditech

PrognoCis

Job description

AAPC is seeking a detail-oriented Medical Billing Specialist with strong coding and insurance processes. You will handle claims, coding, cost estimates, and appeals while working closely with patients and payers. Experience with Epic, Meditech or PrognoCis is beneficial.

The ideal candidate will have CPC/CCS certifications, 2+ years in medical billing, and excellent communication skills to ensure timely reimbursements and regulatory compliance.