Remote Medical Billing Specialist — ICD-10/CPT Expert

AAPC; Spring Valley (NV); Hybrid; USD 52,000 - 65,000; Full time

Benefits offered by this job

Work from home option

Job summary

AAPC is seeking a detail-oriented Medical Billing Specialist with strong experience in medical billing, coding, and insurance processes. The role emphasizes accurate coding (ICD-10, CPT, HCPCS), knowledge of medical terminology, and collaboration with patients and payers to ensure timely reimbursement.

The role involves using EHR/EMR systems (Epic, Meditech, PrognoCis) for documentation and billing workflows, generating cost estimates, resolving denials, submitting appeals, and staying current

Qualifications

• High school diploma or equivalent required; Associate's degree preferred.
• CPC or CCS certification strongly preferred.
• Minimum of 2 years in medical billing, coding, and EHR/EMR systems.

Responsibilities

• Process and submit medical claims to insurers and third-party payers.
• Code using ICD-10, CPT, and HCPCS standards.
• Generate cost estimates based on insurance coverage and contracts.
• Verify billing data accuracy in EHR/EMR prior to submission.
• Use EHR/EMR systems (Epic, Meditech, PrognoCis) for billing workflows.
• Research and resolve billing discrepancies or denials.
• Prepare and submit insurance appeals per payer guidelines.
• Communicate billing questions to patients; explain coverage and responsibilities.
• Stay updated on medical terminology, payer rules, and HIPAA/CMS regulations.
• Collaborate with clinical staff to ensure accurate coding and documentation.
• Track accounts receivable and follow up on outstanding claims.

Skills

Attention to detail

Communication skills

Problem solving

Organizational skills

Education

High school diploma

Associate's degree preferred

CPC certification

CCS certification

Tools

Epic

Meditech

PrognoCis

Job description

AAPC is seeking a detail-oriented Medical Billing Specialist with strong experience in medical billing, coding, and insurance processes. The role emphasizes accurate coding (ICD-10, CPT, HCPCS), knowledge of medical terminology, and collaboration with patients and payers to ensure timely reimbursement.

The role involves using EHR/EMR systems (Epic, Meditech, PrognoCis) for documentation and billing workflows, generating cost estimates, resolving denials, submitting appeals, and staying current