Medical Billing and Coding Specialist

About Us

Clarity Works helps healthcare practices recover lost revenue, reduce billing bottlenecks, and improve cash flow through revenue cycle management, claims analysis, denial management, and payer follow-up.

Role Overview

We are seeking an experienced Medical Biller & Coder to support full-cycle revenue cycle operations across multiple healthcare clients.

This role includes coding, claim submission, payment posting, denial and rejection resolution, appeals, insurance follow-up, and accounts receivable management. The ideal candidate understands payer requirements, can identify the root cause of claim issues, and takes ownership of claims through final resolution.

Hours: 25–40 hours per week

Responsibilities

• Review medical documentation and accurately assign ICD-10, CPT, HCPCS, modifiers, and other applicable codes
• Prepare and submit clean claims through EHR/EMR systems and clearinghouses
• Review and resolve denied and rejected claims
• Identify coding, modifier, documentation, authorization, eligibility, and billing issues causing denials
• Correct and resubmit claims within payer timely filing requirements
• Prepare and submit appeals, reconsiderations, corrected claims, and supporting documentation
• Review EOBs, ERAs, payer correspondence, and claim histories to determine appropriate next steps
• Follow up with insurance companies by phone, portal, and other available channels until claims are resolved
• Work aged accounts receivable and aggressively pursue outstanding reimbursement
• Post and reconcile insurance and patient payments when assigned
• Identify underpayments and reimbursement discrepancies
• Research payer policies, billing guidelines, coverage requirements, and denial reasons
• Identify denial trends and root causes to help prevent recurring billing issues
• Communicate with providers and practice staff when documentation, coding clarification, or additional information is needed
• Maintain clear and detailed claim notes documenting all actions, payer communications, and follow-up requirements
• Monitor timely filing limits, appeal deadlines, and payer follow-up dates
• Maintain accurate and organized billing and claims records
• Follow HIPAA, coding, billing, and compliance requirements at all times
• Support multiple client accounts while maintaining accuracy, productivity, and timely follow-up

Qualifications

• 2+ years of hands-on medical billing, coding, or revenue cycle management experience
• Strong knowledge of ICD-10, CPT, HCPCS, modifiers, and medical terminology
• Experience working denied, rejected, and unpaid claims
• Strong understanding of EOBs, ERAs, payer correspondence, and claim status information
• Experience with appeals, corrected claims, reconsiderations, and insurance follow-up
• Experience working accounts receivable and aged claims
• Familiarity with EHR/EMR systems, clearinghouses, and payer portals
• Strong understanding of payer rules, timely filing requirements, and reimbursement processes
• Ability to identify the root cause of billing and denial issues and determine the appropriate corrective action
• Strong attention to detail, organization, follow-up, and problem-solving skills
• Ability to independently manage multiple clients and priorities
• Strong written and verbal communication skills

Preferred Experience

• Behavioral Health
• Mental Health
• ABA
• Primary Care
• Multi-Specialty practices
• Revenue Cycle Management
• Revenue Recovery and aged A/R
• Appeals and denial management
• Multi-client or outsourced billing environments

Preferred Tools

Experience with ClickUp, Google Workspace, payer portals, clearinghouses, and multiple EHR/EMR platforms is a plus.

To Apply

Please submit:

• Resume
• Brief summary of your medical billing and coding experience
• Description of your experience working denials, appeals, and aged A/R
• Coding certifications, if applicable
• EHR, billing software, and clearinghouse experience