A new Interventional Pain Medicine clinic is looking for an experienced certified coder/biller to build and run its revenue cycle from the start. This is a hands-on role working directly with the physician. You will own every part of the revenue cycle, from patient scheduling through final payment.
If you like autonomy, want to shape processes from the start, and want to see the direct results of your work, this role is for you.
Key Responsibilities
Front-End Revenue Cycle
• Verify patient insurance eligibility and benefits before visits and procedures
• Obtain and track prior authorizations for office visits, diagnostic imaging, and interventional procedures
• Communicate financial responsibility to patients before services
Coding & Charge Capture
• Assign accurate CPT, ICD-10-CM, and HCPCS codes for E/M services and interventional procedures, including epidural steroid injections, facet and medial branch blocks, radiofrequency ablation, and other fluoroscopic and ultrasound-guided procedures
• Review physician documentation for completeness and compliance, and provide feedback as needed
• Apply payer policies, LCD/NCD requirements, modifier guidelines, CCI bundling edits, etc, correctly
Billing & Payment Posting
• Submit clean claims electronically to all payers; both contracted and non contracted.
• Post payments, adjustments, and ERAs/EOBs accurately timely
• Reconcile deposits and maintain accurate account balances
Denial Management & A/R Follow-Up
• Work denials and rejections, identify root causes, and write and submit appeals as needed
• Monitor aging reports and follow up on outstanding claims
• Track trends and recommend process improvements
Patient Accounts
• Respond to patient billing questions with professionalism and empathy
• Set up payment plans and manage patient statements and collections
• Keep patient information confidential and HIPAA-compliant
Qualifications
Required
• Current coding certification (CPC, CCS, or equivalent)
• At least 3 years of experience in medical coding and billing
• Working knowledge of the full revenue cycle
• Strong knowledge of CPT, ICD-10-CM, HCPCS, and modifier usage
• Experience with prior authorizations and payer-specific requirements
• Proficiency with EHR and practice management systems
• Excellent attention to detail, organization, and communication skills
• Ability to work independently and manage multiple priorities
Preferred
• Pain management or interventional pain billing experience
• Experience supporting a new practice or start-up
What We Offer
• Competitive salary
• Benefits package
• The chance to build a revenue cycle program from the ground up
• Direct collaboration with the physician in a supportive, growing practice