Company Description Certified Medical Biller & Coder for Pain Management Role Description This is a full-time on-site role for a Certified Medical Insurance Coder & Biller. The primary responsibilities include accurately coding medical procedures and diagnoses, ensuring compliance with regulatory requirements, and managing insurance claims and billing processes. The role also involves maintaining records, staying updated on industry coding standards, and collaborating with healthcare providers to ensure accurate and efficient billing processes. Key Responsibilities Assign accurate ICD‑10, CPT, and HCPCS codes for all pain management services, including office visits, procedures, injections, imaging, and durable medical equipment when applicable. Review provider documentation for completeness and compliance; query clinicians when clarification is needed. Prepare, submit, and track claims to Medicare, Medicaid, commercial payers, and workers’ compensation. Monitor claim status , correct denials, and resubmit as needed to ensure timely reimbursement. Maintain up‑to‑date knowledge of payer policies, NCCI edits, LCD/NCD guidelines, and pain‑specific coding changes. Reconcile daily charges , ensure accurate posting of payments, and identify underpayments or payer discrepancies. Generate coding and billing reports to support revenue cycle performance. Protect patient privacy and maintain HIPAA compliance at all times. Qualifications Strong knowledge and practical experience in Medical Coding and Coding Experience for Pain Management Proficiency in Medical Terminology and understanding of healthcare documentation Exceptional attention to detail and ability to ensure accuracy in coding and billing processes Good communication skills and ability to collaborate with healthcare providers Strong analytical and organizational skills Experience with ECW electronic health records (EHR) systems is beneficial 3 Years verifiable experience in Pain Management Billing