Medical Billing Specialist

We are seeking a detail-oriented Medical Coder with Certified Professional Coder (CPC) credentials and strong knowledge of global modifiers to support accurate coding, billing, and reimbursement processes. This role is responsible for reviewing clinical documentation, assigning appropriate CPT, ICD-10-CM, and HCPCS codes, and applying modifiers correctly to ensure compliance with payer and regulatory requirements. This role is 100% remote.

Key Responsibilities:

• Review medical records and provider documentation to assign accurate CPT, ICD-10-CM, and HCPCS codes.
• Apply appropriate modifiers, including those related to global surgical packages, based on payer guidelines and documentation.
• Ensure accurate coding for procedures, office visits, surgeries, and ancillary services.
• Audit claims for coding accuracy, completeness, and compliance before submission.
• Resolve coding edits, denials, and billing discrepancies related to modifier usage and medical necessity.
• Work closely with providers, billers, and revenue cycle staff to clarify documentation and coding questions.
• Stay current on coding updates, payer changes, and regulatory guidance.
• Maintain productivity and quality benchmarks in a high-volume environment.

Qualifications:

• CPC certification required.
• 2+ years of medical coding experience preferred.
• Strong understanding of CPT, ICD-10-CM, HCPCS, and payer-specific billing guidelines.
• Hands-on experience with global modifiers such as 24, 25, 57, 58, 78, and 79.
• Knowledge of E/M coding, surgical coding, and reimbursement methodologies.
• Experience working with EMR/EHR and practice management systems.
• Strong attention to detail, analytical skills, and ability to meet deadlines.

Preferred Qualifications:

• Experience in physician billing, outpatient coding, or specialty practice coding.
• Familiarity with claim denial management and coding audits.
• Knowledge of Medicare, Medicaid, and commercial payer rules.

Sample Skills to Highlight:

• Medical coding
• CPC certification
• Modifier review
• Global surgery rules
• Claims auditing
• Denial resolution
• Compliance
• Revenue cycle support