Medical Biller & Coder 2 (Team A)
Remote LATAM role. Compensation listed in USD with local currency equivalent. This particular role is a Colombia-based independent contractor engagement.
The contractor will coordinate daily service delivery with the Medical Billing & Coding Analyst 1 (Team Lead Team A). Escalations, risks, or unresolved issues will be routed through the Team Lead to the Accounts Receivables Department Manager as required.
Contract Classification: W8BEN Independent Contractor
Compensation Range: USD $5.00$6.50 (? COP 19,00024,700/hr)
Anticipated Travel: None
Scope of Work: This scope of work applies to Team A, supporting one or more outpatient mental health center clients. The Medical Biller & Coder is responsible for executing accurate, compliant, and timely billing and coding services to support end-to-end revenue cycle operations.
Core Scope of Work & Deliverables:
- Review clinical documentation to confirm required elements are present prior to billing (signed notes, treatment plans, service dates, units, provider credentials)
- Assign accurate CPT, ICD-10-CM, and applicable HCPCS codes based on documentation
- Enter charges accurately into the EHR or billing system
- Submit claims timely and in compliance with payer-specific requirements
- Verify patient demographics, insurance information, and payer details prior to claim submission
- Identify and correct claim rejections, coding errors, and data entry issues
- Support denial resolution activities by correcting coding or documentation issues as directed
- Ensure all services rendered are captured and billed; escalate suspected missed charges
- Maintain organized, audit-ready billing records and supporting documentation
- Adhere to workflows, quality standards, and productivity expectations established by the Team Lead
- Communicate documentation gaps, authorization issues, or system barriers promptly to the Team Lead
Unscheduled / Support Duties:
- Assist with billing backlogs or high-volume periods
- Support internal quality assurance reviews and audits
- Participate in training, coaching, and cross-training activities
- Provide coverage for essential billing tasks during team member absences
- Support process improvement initiatives related to billing accuracy and turnaround time
Technology, Data Security & Monitoring Requirements:
- All work must be performed exclusively on the assigned Amazon Workstation (AWS virtual workstation) authorized by Freedom Health Systems.
- Use of personal devices, local storage, screenshots, external email forwarding, or unauthorized systems is strictly prohibited.
- The Amazon Workstation environment is monitored by the Company for security, compliance, productivity, and quality assurance purposes.
- System access logs, activity monitoring, and usage metrics may be reviewed to ensure compliance with HIPAA, client contracts, and Company policies.
- Failure to comply with technology, security, or monitoring requirements may result in immediate termination of the contract.
Key Performance Indicators (KPIs):
- Coding accuracy rate
- Charge entry accuracy and completeness
- Clean claim submission rate
- Claim rejection rate
- Timeliness of claim submission
- Error correction and resubmission turnaround time
- Audit findings and error trends
- Adherence to established workflows and instructions
- Responsiveness to Team Lead requests and escalations
Physical Demands:
- Prolonged periods sitting at a desk and working on a computer
- Continuous use of EHR and billing platforms
- Frequent virtual communication via chat, phone, or video
Working Conditions:
- Fully remote (Colombia-based) via assigned Amazon Workstation
- Production-driven, deadline-oriented revenue cycle environment
- Collaboration across time zones with U.S.-based leadership and client operations
Required Qualifications & Expertise:
- Minimum 24 years of U.S. medical billing and coding experience
- Outpatient mental health or behavioral health billing experience preferred
- Working knowledge of CPT, ICD-10-CM, and basic HCPCS coding
- Familiarity with U.S. insurance, Medicaid, and managed care billing processes
- Strong attention to detail and accuracy
- Ability to follow defined workflows and quality standards
- Strong written and verbal English communication skills
- Experience working in secure virtual workstation environments preferred
- Professional coding certifications (CPC or equivalent) preferred