About this role
Why This Role Exists This role requires the next hire to ensure accurate, compliant billing and coding processes that maximize revenue, reduce denials, and accelerate cash flow. What You’ll Be Responsible For Reviewing and coding medical records accurately (CPT, ICD-10) Submitting clean claims and resolving denials Monitoring accounts receivable and following up on unpaid claims Ensuring compliance with payer and regulatory requirements Identifying and fixing revenue leakage issues What You’ve Done Before Managed end-to-end medical billing and coding processes Reduced claim denials and improved reimbursement rates Worked with billing systems, clearinghouses, and payer portals Maintained compliance with HIPAA and billing regulations Who You Are Have medical coding certifications such as CPC, CCS, CCA Detail-obsessed and accuracy-driven Analytical and solutions-oriented Proactive in identifying issues and fixing them Accountable for revenue outcomes, not just task completion What Success Looks Like 98%+ clean claim rate on first submission 25%+ reduction in claim denials 99%+ coding accuracy 20%+ reduction in days in A/R