Full Time
Alertive Healthcare Medical Groiup
Remote
Position Summary
The Certified Medical Biller and Coder is responsible for accurately reviewing medical documentation, assigning appropriate diagnosis and procedure codes, and supporting the billing process to ensure timely and compliant reimbursement. This role plays a critical part in maintaining the integrity of the revenue cycle by ensuring claims are coded correctly, submitted efficiently, and compliant with payer and regulatory guidelines.
The position requires strong knowledge of CPT, ICD-10-CM, HCPCS coding systems, payer requirements, and medical billing workflows.
Essential Duties and Responsibilities
Review provider documentation and assign accurate CPT, ICD-10-CM, and HCPCS codes
Ensure coding compliance with Medicare, Medicaid, and commercial payer guidelines
Verify documentation supports medical necessity and appropriate coding
Apply correct modifiers and place-of-service codes
Prepare and review claims prior to submission to ensure...