[Hiring] Medical Coder @Remote Raven

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Medical Revenue Cycle Manager oversees the entire revenue cycle process—from patient registration and insurance verification to billing, coding, collections, and reimbursement. This role ensures financial viability by optimizing cash flow, reducing claim denials, and maintaining compliance with healthcare regulations.

• Lead and manage the revenue cycle team, including billing, coding, and collections staff
• Monitor and improve billing accuracy, referrals/prior authorizations, claim submission, and denial prevention/management
• Develop and implement strategies to accelerate revenue collection (including precollections) and reduce AR days
• Collaborate with clinical and administrative departments to streamline workflows, including office visits, testing procedures, and DME
• Analyze financial reports and present revenue cycle performance to leadership
• Negotiate with payers on reimbursement issues, fee schedules, and resolution of escalated claims
• Train and mentor staff on billing software, coding updates, and regulatory changes
• Conduct internal audits to ensure coding accuracy and billing integrity
• Maintain up-to-date knowledge of medical coding, payer policies, and industry trends

We are seeking a highly skilled and detail-oriented Medical Coder / Revenue Cycle Specialist to oversee our billing operations and ensure the financial health of our practice. This role will take ownership of claims processing, payment posting, denial management, and reporting, ensuring accuracy, compliance, and efficiency in all revenue cycle functions.

• Claims Management: Transmit claims through the EHR, scrub for accuracy, and ensure timely submission.
• Remittance Posting: Apply remits electronically; process both electronic and paper Explanation of Benefits (EOBs).
• Denials & Corrected Claims: Work corrected claims, re-submit as needed, and manage claim denials through appeals and follow-ups.
• Payment Tracking: Post payments to client accounts, track balances owed, and reconcile discrepancies.
• Reconciliation: Reconcile all payments received (electronic and paper) against bank deposits and internal records.
• Reporting: Generate company productivity reports, including revenue per therapist and other KPIs.
• Compliance & Accuracy: Maintain strict adherence to HIPAA, payer requirements, and billing standards.

Qualifications

• 5+ years of experience in outpatient clinic medical billing and revenue cycle management
• Strong knowledge of Athenahealth EMR/EHR systems, billing software, and reports
• Certification in medical coding (e.g., CPC, CCS) preferred
• Excellent leadership, analytical, and communication skills
• Proven ability to manage teams and drive performance metrics
• Minimum 3+ years of experience in medical billing, coding, and revenue cycle management
• Medical coder licensed
• Strong knowledge of EHR and billing workflows (experience with Athena or similar systems preferred)
• Proficient in processing electronic and paper claims/EOBs
• Hands-on experience with denial management, corrected claims, and appeals
• Strong Excel/reporting skills (pivot tables, formulas, productivity metrics)
• Excellent organizational skills and high attention to detail
• Strong communication skills for provider, payer, and team collaboration
• Ability to work independently and meet deadlines in a fast-paced environment

Requirements

• This is a 100% Remote Work
• Full time
• US time zone
• Up to $10/hr for RCM Manager
• Up to $8/hr for Medical Coding Specialist

Company Description

Remote Raven is a staffing remote agency specializing in connecting businesses, all over the world, with highly educated and skilled remote professionals, or "Ravens," primarily based in the Philippines.

• The company provides tailored solutions to meet diverse client needs, ranging from administrative support and accounting to specialized roles like digital marketing and graphic design, as long as the work can be done remotely.

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