• Meets coding productivity standards as established by the Coding Operations Director and Coding manager. • Ensures the accurate and complete assignment of Evaluation and Management, CPT, and ICD-10 CM codes that are supported by medical record documentation found in Outpatient Ancillary and Emergency Department encounters. • May perform additional duties as assigned.

• Assign and review appropriate diagnosis and procedure codes • Ensure coding accuracy and compliance with payer requirements • Support providers with documentation-related coding questions • Assist in maintaining coding standards and best practices • Verify insurance information and patient eligibility • Assist with claim corrections, resubmissions, and appeals when necessary • Help optimize reimbursement and reduce claim denials • Maintain compliance with healthcare billing and coding regulations • Support general healthcare administrative workflows as needed • Assist with documentation and record management • Adapt to changing responsibilities as the clinic continues to grow • Collaborate with providers and team members to improve operational efficiency

• Perform internal quality reviews for inpatient and outpatient coding across multiple Health Information Management Service Centers (HSCs). • Audit medical records to ensure coding accuracy, completeness, and compliance with MS-DRG and national standards. • Provide feedback, coaching, and documentation support to coders to improve performance and maintain consistency. • Participate in special review projects and policy-driven audit initiatives. • Maintain productivity and accuracy rates of at least 95%. • Keep coding knowledge current by reviewing official data quality standards, coding guidelines, and policy updates. • Support adherence to internal and external compliance requirements for data and reimbursement accuracy.

Role Description We are seeking a detail-oriented and adaptable Medical Billing & Coding Specialist to support the administrative and revenue cycle operations of a growing healthcare practice. This role is ideal for someone with strong experience in medical billing, coding, and healthcare documentation, particularly within a primary care setting. The successful candidate will play an important role in ensuring accurate coding, reimbursement optimization, and overall financial health of the practice. As the clinic continues to grow, we are looking for someone who is flexible, proactive, and willing to take on new responsibilities as operational needs evolve. The ideal candidate thrives in a dynamic healthcare environment, maintains a high level of accuracy, and is committed to supporting both patients and providers through efficient administrative processes. Responsibilities - Medical Coding: - Assign and review appropriate diagnosis and procedure codes - Ensure coding accuracy and compliance with payer requirements - Support providers with documentation-related coding questions - Assist in maintaining coding standards and best practices - Insurance & Revenue Cycle Support: - Verify insurance information and patient eligibility - Assist with claim corrections, resubmissions, and appeals when necessary - Help optimize reimbursement and reduce claim denials - Maintain compliance with healthcare billing and coding regulations - Administrative & Operational Support: - Support general healthcare administrative workflows as needed - Assist with documentation and record management - Adapt to changing responsibilities as the clinic continues to grow - Collaborate with providers and team members to improve operational efficiency Top 3 Priorities - Medical Coding Accuracy: Ensure diagnosis and procedure codes are assigned accurately and consistently while maintaining compliance with industry standards and documentation requirements. - Clinical Documentation Integrity: Maintain complete, organized, and accurate clinical records that support coding accuracy, provider documentation, and quality patient care. - Adaptability & Practice Support: Provide flexible support across coding and administrative functions while helping a growing healthcare practice operate efficiently. Qualifications - Previous experience in medical billing and coding is required - Strong understanding of ICD-10, CPT, and HCPCS coding systems - Experience reviewing clinical documentation and assigning accurate diagnosis and procedure codes - Ability to identify coding discrepancies, documentation gaps, and compliance concerns - Strong understanding of healthcare reimbursement processes and claims management - Experience working with insurance companies and payer guidelines - Strong attention to detail and commitment to accuracy - Prior experience working with primary care practices is strongly preferred - Familiarity with family medicine, internal medicine, preventive care, chronic disease management, and routine outpatient visits - Understanding of Evaluation and Management (E/M) coding guidelines and documentation requirements - Ability to review medical records and ensure documentation supports coding decisions - Familiarity with healthcare compliance standards and coding best practices - Experience collaborating with providers to improve documentation quality - Strong computer proficiency and ability to learn new systems quickly - Excellent organizational and time-management skills - Ability to manage multiple priorities in a fast-paced environment - Comfortable adapting to changing workflows and responsibilities - Excellent written and verbal English communication skills - Ability to communicate professionally with providers, clinical staff, and administrative team members - Strong problem-solving, analytical, and critical-thinking skills Ideal Candidate Profile - Detail-oriented and highly accurate - Adaptable and flexible in a growing practice environment - Reliable, accountable, and self-motivated - Organized and process-driven - Comfortable working independently while collaborating with a team - Proactive in identifying opportunities for improvement - Committed to maintaining confidentiality and compliance standards - Eager to learn, grow, and contribute to the long-term success of the practice Requirements - Must be proficient in speaking and writing English very clearly - Must have relevant work experience - Be able to submit an NBI clearance and/or Local Police Clearance background check before onboarding [mandatory] - Must be available for video meetings with your camera on (when needed) Technical Requirements - Device: Reliable laptop or desktop computer. - Internet: High-speed connection (minimum 25 Mbps). - Audio: Noise-canceling headset. - Video: Webcam for virtual meetings. - Workspace: Quiet, professional environment. Benefits - Dedicated HR & Contractor Support Team: Access to world-class support for questions, guidance, contract matters, and client communication. - Premium VPN Access (Optional): A secure VPN license can be provided upon request to enhance privacy and security for client-related tasks. - HIPAA & Cybersecurity Training + Certification (Provided): Access to our internal HIPAA compliance training, cybersecurity modules, and certification to help you confidently handle PHI for U.S. healthcare clients. - Top 1% VA Performance Training: Access to our proprietary training on communication, client management, productivity systems, and best practices to help you become a top-performing VA and increase long-term client retention. - Client-Approved U.S. Holidays: Contractors may take U.S. holidays off according to the client’s needs and schedule. - Client-Approved Paid or Unpaid Time Off: Time off may be granted by your client. Paid time off is optional and only if offered by the client. - Access to Tools & Resources: Templates, workflow guides, productivity tools, and client-specific SOP support to help you perform at your best. - Optional Performance-Based Incentives: Some clients may offer bonuses, incentives, or increased hours based on your performance.