Remote Medical Billing & Coding Specialist. (Ensure Accuracy. Improve Access. Drive Health Equity)

Job Description: We are seeking a skilled and compliance-driven Medical Billing & Coding Specialist to join our remote team, supporting a healthcare environment focused on public health, preventive care, and community wellness. This position plays a critical role in ensuring accurate documentation, proper coding, and timely claims submission across a variety of services provided in hospital outpatient departments, public health clinics, and community health programs. Working within an interdisciplinary team, you’ll ensure that every procedure, diagnosis, and patient encounter is coded accurately to reflect the services provided—helping our organization remain compliant, financially sustainable, and able to continue serving vulnerable populations. Key Responsibilities: Assign accurate medical codes to diagnoses and procedures using ICD-10-CM, CPT, and HCPCS coding systems Review electronic health records (EHR) for accuracy and compliance with billing and documentation standards Submit, track, and reconcile medical claims to Medicaid, Medicare, and commercial insurance plans Resolve denied or rejected claims through timely investigation, correction, and appeals Collaborate with clinical and administrative staff to ensure proper documentation and coding alignment Ensure all billing practices adhere to HIPAA, CMS, and state regulatory guidelines Maintain accurate patient billing records and support internal audits or quality improvement initiatives Monitor coding updates, payer policies, and regulatory changes affecting reimbursement Required Qualifications: High school diploma or equivalent; Associate’s or Bachelor’s degree in Health Information Management, Public Health, or Healthcare Administration preferred Active certification in medical coding or billing: CPC, CCA, CCS, or equivalent Minimum of 2 years of billing/coding experience in a hospital, FQHC, CHC, or public health setting Strong knowledge of government payer rules (Medicaid/Medicare), preventive service coding, and sliding fee scale billing (if applicable) Experience working with EHR systems such as EPIC, NextGen, AthenaHealth, or eClinicalWorks Strong attention to detail, time management skills, and understanding of confidentiality requirements Preferred Qualifications: Experience with value-based care, population health billing, or community health reimbursement models Familiarity with UDS (Uniform Data System) reporting or grant-funded healthcare billing Prior remote work experience and ability to operate independently in a virtual team setting Bilingual or multilingual communication skills are a plus Compensation & Work Details: Work Type: 100% Remote | Full-Time Schedule: Flexible business hours with some deadline-based tasks Hourly Rate: $80 – $90/hour (commensurate with experience) Team Environment: Supportive, mission-aligned, and equity-focused Professional Growth: Access to ongoing training, CEUs, and development resources Impact: Help maintain financial health of safety-net services that serve underinsured and vulnerable communities Commitment to Equity & Inclusion: We are committed to advancing health equity, and we actively seek candidates who reflect the communities we serve. Applicants from underrepresented backgrounds, including BIPOC, LGBTQ+, veterans, and persons with disabilities, are strongly encouraged to apply. Apply tot his job Apply To this Job