• conducts quality assurance coding of medical records and ICD-10 diagnosis codes • assumes ownership and leads advanced and specialized administrative/operational/customer support duties • ensures coding is accurate and supported by clinical documentation • reviews medical records to report conditions that map to HCCs by applying the appropriate ICD-10 diagnosis codes • follows state and federal regulations and internal policies while analyzing coding info • works on projects that may include making phone calls to providers • participates on special projects in addition to daily responsibilities

• Review medical record documentation and claim information prior to submission to ensure accurate assignment of ICD-10-CM, CPT, and HCPCS codes, supporting appropriate reimbursement and compliance with regulatory requirements. • Review and analyze coding-related claim denials, underpayments, and payer audit findings to identify root causes and recommend corrective actions that improve reimbursement outcomes. • Research payer policies, coding guidelines, and medical record documentation to support denial appeals, claim corrections, and reconsideration requests when appropriate. • Collaborate with billing and operational teams to resolve coding-related claim issues, reduce recurring denials, and improve first-pass claim acceptance rates. • Monitor coding, billing, and denial trends; prepare reports and collaborate with leadership and operational teams to implement process improvements, coding edits, and workflow enhancements that support compliance and reimbursement optimization. • Stay current on changes to coding regulations, reimbursement methodologies, payer policies, and industry best practices through ongoing education and professional development.

Role Description Our client is hiring a Medical Billing Specialist to support a growing U.S.-based mental health practice. This role is ideal for someone who enjoys working behind the scenes to keep the revenue cycle running smoothly and takes pride in resolving billing issues, improving collections, and ensuring claims are processed accurately. You'll become an important part of a collaborative healthcare team by managing the billing process from claim submission through payment collection while helping maximize the practice's financial performance. If you're proactive, detail-oriented, and confident in communicating with insurance companies, we'd love to hear from you. Key Responsibilities - Submit insurance claims accurately and in a timely manner. - Verify patient insurance eligibility and benefits. - Follow up on unpaid, pending, and denied insurance claims. - Manage Accounts Receivable (A/R) and reduce outstanding balances. - Contact insurance companies regarding claim status, corrections, and appeals. - Monitor billing reports and identify opportunities to improve collections. - Maintain accurate billing records and documentation. - Help ensure timely reimbursement and consistent revenue collection. Experience Requirements - Minimum 2 years of medical billing experience supporting U.S. healthcare providers. - Previous experience working remotely or as a Virtual Assistant is preferred but not required. - No medical degree or healthcare license is required. - Experience in Psychiatry or Behavioral Health is highly preferred. - Medical coding experience (CPT, ICD-10, HCPCS) is a strong advantage. Professional Qualifications - Strong knowledge of medical billing and insurance claims processing. - Accounts Receivable (A/R) management. - Claims follow-up and denial management. - Insurance eligibility and benefits verification. - Familiarity with U.S. insurance payers and reimbursement processes. - Comfortable communicating directly with insurance companies to resolve billing issues. - Excellent written and verbal English communication skills. - Strong analytical, organizational, and time management skills. - Able to work independently with minimal supervision. - Detail-oriented with excellent accuracy. - Proactive, accountable, and able to take ownership of responsibilities. - Reliable and able to quickly adapt to existing workflows. Basic Requirements - Must speak and write English clearly and professionally. - Must have relevant work experience. - Must be able to provide an NBI Clearance and/or Local Police Clearance before onboarding (mandatory). - Must be available to attend video meetings with camera on when required. Technical Requirements - Computer: Reliable laptop or desktop computer. - Internet: Stable high-speed internet connection (minimum 25 Mbps). - Audio: Noise-canceling headset. - Video: Working webcam for virtual meetings. - Workspace: Quiet and professional work 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.

• Responsible for critical access hospital coding including emergency department and infusions • Ensure timely and accurate coding of medical claims while maximizing reimbursement for services • Abstract clinical information and translate medical documentation into codes • Maintain current knowledge of coding rules and regulations • Communicate issues to management regarding coding and billing • Participate in department meetings and continuing education programs • Ensure confidentiality of patient information and compliance with policies