Medical Biller & Coder

Woodlands Primary Healthcare is seeking an experienced Medical Biller and Coder to join our growing family medicine practice. We are looking for a detail-oriented professional with proven expertise in medical billing coding revenue cycle management and a strong background in family or internal medicine.

This position is in-person or hybrid. Candidates must reside within a reasonable commuting distance of The Woodlands TX. Fully remote candidates will not be considered.

IMPORTANT: Any individual or company reaching out about this position outside of this platform will be automatically disqualified.

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KEY RESPONSIBILITIES

Accurately code diagnoses procedures and visit documentation using ICD-10 CPT and HCPCS coding systems
Review and audit daily charts to ensure complete accurate and compliant coding
Prepare and submit insurance claims to payers in a timely and compliant manner
Monitor and manage accounts receivable (A/R) including follow-ups on unpaid claims rejections and denials
Investigate and resolve billing discrepancies with insurance providers
Communicate effectively with the clinical team to clarify coding and documentation requirements
Maintain comprehensive and confidential patient records in accordance with HIPAA guidelines
Support revenue cycle processes to maximize reimbursements

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REQUIRED QUALIFICATIONS

Minimum 35 years of hands-on experience in medical billing and coding specifically in family or internal medicine
Strong knowledge of ICD-10 CPT and HCPCS coding systems
eClinicalWorks (eCW) experience is required please specify when you last used it and in what capacity
Familiarity with Trizetto (Gateway EDI) for claims submission and clearinghouse management
Experience with Availity for eligibility verification claim status and ERA/EOB retrieval
Comprehensive understanding of medical terminology and billing regulations
Full availability Monday through Friday 8:00 AM 5:00 PM Central Standard Time (CST)
Must reside within a reasonable commuting distance of The Woodlands TX
High school diploma or equivalent required; Associates degree preferred

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PREFERRED QUALIFICATIONS

Certification: CPC CCA CCS or equivalent
Experience coding for mammogram and/or ultrasound procedures
Experience with Remote Patient Monitoring (RPM) billing
Prior experience handling A/R follow-ups and denial management
Familiarity with HEDIS quality measures and documentation standards

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SKILLS & COMPETENCIES

Exceptional attention to detail and organizational skills
Strong written and verbal communication skills
Excellent computer literacy and technical proficiency
Ability to work independently and collaboratively within a clinical team
Strong problem-solving skills with a proactive approach
Ability to multitask effectively in a fast-paced environment

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If you are dedicated to enhancing healthcare documentation accuracy improving collections and maintaining billing compliance wed love to hear from you!

Join our supportive team and grow with an expanding practice committed to exceptional patient care.

Reminder: Any individual or company reaching out outside of this platform will be automatically disqualified.

Founded on a Vision of Comprehensive Care & Lifestyle Medicine

At Woodlands Primary Healthcare were revolutionizing the way you experience healthcare. Our family medicine practice combines the personalized attention of concierge-level medicine with the convenience of using your existing medical benefits. Our mission is to bridge the gaps in traditional healthcare empowering you to achieve optimal wellness.

We firmly believe that optimal health involves more than just treating illness. Our medical approach combines traditional medical expertise with a lifestyle medicine approach empowering patients to take control of their well-being.