Medical Biller & Coder 3 – Remote (Peru)
WFA Digital Insight
The demand for skilled medical billers and coders has seen significant growth, with the global healthcare market expected to increase by 10% annually. As the healthcare industry shifts towards more efficient and accurate billing processes, professionals with expertise in medical coding and billing are in high demand. With the rise of remote work, opportunities like this one at Enterprise Management Solutions, Inc. offer a unique chance for professionals to work with a mission-driven healthcare advisory and management consulting firm. Before applying, candidates should be aware of the importance of accuracy and compliance in medical billing and coding, as well as the need for excellent analytical and problem-solving skills.
Job Description
About the Role
The Medical Biller & Coder 3 role at Enterprise Management Solutions, Inc. is a remote, independent contractor position based in Peru. As a key member of the Revenue Cycle Management team, you will be responsible for executing accurate, compliant, and timely billing and coding services to support end-to-end revenue cycle operations. Your day-to-day tasks will include reviewing clinical documentation, assigning accurate codes, and submitting claims. You will work closely with the Medical Billing & Coding Analyst 2 (Team Lead – Team B) to ensure high-quality service delivery and resolve any issues that may arise.The role of a medical biller and coder is crucial in ensuring that healthcare providers receive accurate and timely reimbursement for their services. By working in this field, you will be contributing to the overall efficiency and effectiveness of the healthcare system. As a remote worker, you will have the flexibility to work from the comfort of your own home, with the opportunity to collaborate with a talented team of professionals who share your passion for delivering exceptional results.
What You Will Do
- Review clinical documentation to confirm required elements are present prior to billing
- Assign accurate CPT, ICD-10-CM, and applicable HCPCS codes based on documentation
- Enter charges accurately into the EHR or billing system
- Submit claims timely and in compliance with payer-specific requirements
- Verify patient demographics, insurance information, and payer details prior to claim submission
- Identify and correct claim rejections, coding errors, and data entry issues
- Support denial resolution activities by correcting coding or documentation issues as directed
- Ensure all services rendered are captured and billed accurately
- Collaborate with the Medical Billing & Coding Analyst 2 (Team Lead – Team B) to resolve issues and improve processes
- Participate in quality improvement initiatives to enhance the overall efficiency and effectiveness of the revenue cycle management process
What We Are Looking For
- 2+ years of experience in medical billing and coding
- Strong knowledge of CPT, ICD-10-CM, and HCPCS coding systems
- Proficiency in Excel and other Microsoft Office applications
- Excellent analytical and problem-solving skills
- Strong attention to detail and ability to work accurately in a fast-paced environment
- Effective communication and interpersonal skills
- Ability to work independently and as part of a remote team
- Familiarity with electronic health records (EHRs) and billing systems
- Certification in medical billing and coding (e.g., CPC, CIC, or COC)
Nice to Have
- Experience working in a revenue cycle management environment
- Knowledge of compliance regulations and guidelines (e.g., HIPAA)
- Familiarity with practice management systems (PMS)
- Certification in a specialized area of medical billing and coding (e.g., pediatric or oncology)
Benefits and Perks
- Competitive compensation package
- Opportunity to work with a mission-driven healthcare advisory and management consulting firm
- Flexible remote work arrangement
- Collaborative and dynamic work environment
- Professional development opportunities
- Access to cutting-edge technology and tools
- Recognition and reward for outstanding performance
How to Stand Out
- Make sure to highlight your experience with CPT, ICD-10-CM, and HCPCS coding systems in your application.
- Familiarize yourself with the company's mission and values to demonstrate your enthusiasm for the role.
- Be prepared to provide examples of your analytical and problem-solving skills, as well as your attention to detail.
- Showcase your proficiency in Excel and other Microsoft Office applications, as well as any experience with EHRs and billing systems.
- Research the company's approach to revenue cycle management and be prepared to discuss your experience in this area.
- Consider obtaining certification in medical billing and coding to increase your chances of standing out as a candidate.
- Be prepared to discuss your experience working in a remote environment and how you stay motivated and organized.
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