Medical Billing and Coding Analyst 1

DISCLOSURES

The specific statements shown in each section of this scope of work are not intended to be all-inclusive. They represent typical elements and criteria considered necessary to perform the contracted services successfully. The scope of responsibilities/tasks may be modified and/or expanded over time based on client needs and contractual requirements. The Company will inform the contractor when material changes are made to this scope of work.

ABOUT FREEDOM HEALTH SYSTEMS INC

Freedom Health Systems Inc. is a mission-driven healthcare advisory and management consulting firm that partners with behavioral health and human services organizations to improve access equity and operational excellence. We specialize in guiding providers through program development accreditation compliance and clinical best practicesempowering them to deliver high-quality person-centered care to their communities.

While we do not provide direct healthcare services Freedom Health Systems plays a vital role behind the scenes by strengthening organizational infrastructure supporting service expansion and helping our partners lead with innovation and integrity. Our expertise spans a wide range of operational services including revenue cycle management prior authorization virtual front office support medical billing and coding human resources and compliance consulting.

At Freedom Health Systems we are deeply committed to breaking down barriers in the behavioral health space with a particular focus on serving marginalized and underserved populations. Our team fosters a collaborative forward-thinking work environment where every contractor and team member contributes to advancing impactful community-based care.

Medical Billing & Coding Analyst 1 (Team Lead Team A)

India (Remote)This is an India-based independent contractor engagement;

NOT a U.S.-based position and compensation is paid in Indian Rupees (INR) not U.S. dollars.

COMPANY WEBSITE:

COMPANY PHONE NUMBER:

HUMAN RESOURCES DEPARTMENT PHONE NUMBER: EXT 10

HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS:

POSITION TITLE: Medical Billing & Coding Analyst (Team Lead Team A)

ALTERNATE TITLE(S): Lead Medical Billing & Coding Analyst Revenue Cycle Team Lead (Contractor) Billing & Coding Oversight Lead

COMPANY: Freedom Health Systems Inc. (in support of all customer companies under contract)

DIVISION:Accounting & Finance

DEPARTMENT: Accounts Receivables

UNIT: Medical Billing & Coding (Revenue Cycle Management Services)

BENEFITS PACKAGE: Ineligible / Not Applicable (Independent Contractor)

WORK SCHEDULE: Monday Friday 8:00 AM EST 5:00 PM EST
(or as otherwise agreed in writing aligned to U.S. Eastern Time business hours)

ACCOUNTABLE TO: Accounts Receivables Department Manager

ACCOUNTABLE FOR:

End-to-end revenue cycle billing integrity for assigned outpatient mental health center client(s) including:

• Ensuring all required documentation is entered and complete
• Ensuring all billable services are captured coded billed and submitted
• Ensuring billed services are adjudicated and paid accurately
• Providing functional oversight of Team A billing resources (Medical Biller & Coder 1 and Medical Biller & Coder 2)
• Coordinating with Prior Authorization and client operational leadership to reduce revenue leakage and denials

CLASSIFICATION: W8BEN (Independent Contractor)

COMPENSATION RANGE: 500 625 INR per hour (this is not USD)
Equivalent to approximately USD $6.00$7.50 per hour based on experience and credentials.

ANTICIPATED TRAVEL: None

SCOPE OF ASSIGNMENT

This scope of work applies to Team A supporting one or more outpatient mental health center clients. The Team Lead is responsible for ensuring services are properly documented authorized (when required) coded billed followed through adjudication and reconciled through payment as part of revenue cycle management services.

SUPERVISORY SCOPE (FUNCTIONAL / CONTRACTUAL):

Within the scope of this engagement the Team Lead will provide day-to-day functional oversight workflow coordination coaching and quality review for:

• Medical Biller & Coder 1
• Medical Biller & Coder 2

This functional oversight is limited to contracted service execution and does not include employment/HR authority.

SUMMARY OF POSITION RESPONSIBILITIES

The Medical Billing & Coding Analyst (Team Lead Team A) provides advanced billing coding and revenue cycle oversight services for outpatient mental health center clients. The Team Lead ensures that documentation supports services rendered all billable services are captured and submitted and claims are accurately adjudicated and paid.

This role performs continuous analysis of billing and payment activity identifies gaps (missing documents missed charges denials underpayments no-pay claims) and coordinates timely resolution. The Team Lead collaborates with thePrior Authorization Unit Accounts Receivables leadership and operational management of client companies to ensure alignment across authorization documentation billing and reimbursement.

SCHEDULED DUTIES AND RESPONSIBILITIES

• Perform and oversee billing and coding in compliance with CPT ICD-10-CM HCPCS and payer-specific billing rules
• Review documentation to confirm medical necessity support and correct code assignment prior to claim submission
• Ensure all required clinical and administrative documentation is entered into the EHR prior to billing (e.g. signed notes treatment plans required forms demographics/insurance data)
• Ensure all billable services are captured and billed including identification and correction of missed charges
• Oversee claim submission processes to ensure timely accurate and compliant claim filing
• Analyze biller work output and billing queues for completeness accuracy and timeliness
• Monitor claim status rejections denials and payer correspondence; coordinate corrections and resubmissions
• Reconcile payments to billed services and contracted rates; identify and escalate underpayments no-pay claims and payment discrepancies
• Lead Team A workflow: assign daily work manage throughput and ensure consistent execution across Medical Biller & Coder 1 and Medical Biller & Coder 2
• Conduct routine quality assurance reviews of team output; document findings and provide corrective coaching
• Track and report revenue cycle risks (documentation gaps authorization gaps denial trends aging A/R) to the Accounts Receivables Department Manager
• Collaborate with the Prior Authorization Unit to ensure services billed are authorized where required and align with approved service periods and units
• Collaborate with operational management of the client companies to resolve documentation delays clinical workflow gaps scheduling/billing mismatches and process barriers impacting reimbursement
• Maintain accurate internal trackers reconciliation logs and audit-ready records as required by the Company

UNSCHEDULED DUTIES AND RESPONSIBILITIES

• Assist the Accounts Receivables Department Manager with escalations special projects and revenue cycle improvement initiatives as requested
• Support internal and external audits (payer audits compliance reviews) by producing billing support reconciliation documentation and QA evidence
• Participate in cross-training activities and cover essential functions during team absences or high-volume periods
• Contribute to performance improvement plans related to denial reduction A/R reduction clean claim rate improvement and documentation completeness
• Maintain strict confidentiality of PHI and financial information and comply with all security requirements
• Maintain awareness of relevant regulations payer policy changes and company procedures impacting billing operations

KEY PERFORMANCE INDICATORS (KPIs)

Contract effectiveness and service quality will be measured using but not limited to the following KPIs:

• Billing Accuracy Rate (target 98%)
• Charge Capture Completeness (all documented services billed; missed-charge rate minimized)
• Documentation Completeness Rate (required billing documents present before submission)
• Clean Claim Rate (low rejection rate at clearinghouse/payer)
• Denial Rate and Denial Resolution Timeliness
• Days in Accounts Receivable (A/R) and aging distribution (e.g. % > 60/90 days)
• Payment Reconciliation Accuracy (payments match billed services and expected rates)
• Underpayment Identification & Recovery Rate (where applicable)
• Authorization-to-Billing Alignment (when prior auth required)
• Team A Throughput & Turnaround Time (claims submission and follow-up SLAs)
• Audit Findings / Error Reduction Trend (month-over-month improvement)
• Client Operational Satisfaction (responsiveness clarity issue resolution quality)

TECHNOLOGY DATA SECURITY & MONITORING REQUIREMENTS

• All work must be performed exclusively on the assigned Amazon Workstation (AWS virtual workstation) authorized by Freedom Health Systems.
• Use of personal devices for performing contracted services local storage screenshots external email forwarding or external systems is strictly prohibited unless explicitly authorized in writing.
• The Amazon Workstation environment will be monitored by the Company for security compliance productivity and quality assurance purposes.
• The contractor acknowledges that system activity logs access logs and usage metrics may be reviewed to ensure compliance with HIPAA client requirements and Company policies.
• Failure to comply with workstation security or monitoring requirements may result in immediate termination of the contract.

PHYSICAL DEMANDS

• Prolonged periods sitting at a desk and working on a computer
• Frequent meetings via video or phone

WORKING CONDITIONS

• Remote (India) performed via assigned Amazon Workstation
• Fast-paced deadline-driven revenue cycle environment requiring detailed accuracy and consistent follow-up
• Regular collaboration across time zones with U.S.-based leadership and client operations teams

COMPETENCIES AND SKILLS

• Strong knowledge of U.S. medical billing and coding standards (CPT ICD-10-CM HCPCS)
• Strong understanding of end-to-end revenue cycle management especially A/R follow-up and payment reconciliation
• Behavioral health and outpatient mental health billing experience preferred
• Ability to analyze billing workflows identify revenue leakage and implement corrective actions
• Ability to oversee coach and quality-check biller output consistently (Team A)
• Strong attention to detail and documentation discipline
• Excellent written and verbal English communication
• Proficiency in EHR systems billing software clearinghouses and payer portals
• Professional audit-ready work practices and secure handling of PHI

LEVEL OF EDUCATION / TRAINING / QUALIFICATIONS

• Bachelors degree or equivalent experience preferred
• Minimum 35 years of U.S. medical billing and coding experience
• Prior Team Lead / workflow oversight experience required
• Outpatient mental health billing experience strongly preferred
• Coding certifications (e.g. CPC CCS) preferred
• Ability to pass background and reference checks (as required by client/contract)

Required Experience:

Manager