Medical Biller & Coder (US Healthcare) – Part-Time | Remote (Philippines)

Employment Type: Part-Time
Compensation: $8/hour (starting rate)

About Us
AI-powered revenue cycle management (RCM) platform focused on optimizing medical billing, coding accuracy, and claim submission workflows for healthcare providers, laboratories, and hospitals in the United States. We are building intelligent systems that streamline operations, reduce denials, and accelerate reimbursements.

Role Overview
We are seeking a highly detail-oriented and technically proficient Medical Biller & Coder with hands-on experience in US healthcare revenue cycle management. The ideal candidate has strong knowledge of coding standards, payer requirements, and end-to-end claims processing.
You will play a critical role in ensuring accurate coding, clean claim submissions, and efficient reimbursement cycles.

Key Responsibilities
Perform accurate medical coding using ICD-10-CM, CPT, and HCPCS Level II
Manage end-to-end Revenue Cycle Management (RCM) processes:
Charge entry
Claim submission (electronic/paper)
Payment posting
Denial management and appeals
Review and scrub claims to ensure compliance with payer guidelines
Identify and resolve billing discrepancies and coding errors
Work with clearinghouses and payer portals to track claim status
Ensure compliance with HIPAA and US healthcare regulations
Collaborate with internal teams to improve claim acceptance rates and reduce AR days

Required Qualifications
Minimum 2 years of experience in US medical billing and coding
Strong working knowledge of:
ICD-10, CPT, HCPCS coding systems
US insurance payers (Medicare, Medicaid, Commercial)
EOBs, ERA, and denial codes
Experience with RCM workflows and billing software/EMR systems
Familiarity with clearinghouses (e.g., Change Healthcare, Availity, Office Ally)
High attention to detail and accuracy
Strong analytical and problem-solving skills
Excellent written and verbal English communication skills

Preferred Qualifications
Experience working with labs, clinics, or hospital billing
Prior exposure to AI-assisted billing tools or automation platforms
Certification (CPC, CCS, or equivalent) is a plus

Application Requirements (Important)
To be considered, applicants must submit a tailored cover letter that includes:
A summary of your relevant experience in US medical billing and coding
Specific examples of your work in RCM processes (e.g., claim submission, denial management)
The types of providers or specialties you have worked with
Any experience improving claim acceptance rates or reducing denials
Familiarity with billing systems, clearinghouses, or tools
?? Applications without a customized and role-specific cover letter will not be considered.