05 ago
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American HomeStays
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Xico
05 ago
American HomeStays
Xico
DISCLOSURES
The specific statements shown in each section of this job description are not intended to be all-inclusive. They represent typical elements and criteria considered necessary to perform the job successfully. The job’s responsibilities/tasks may be modified and/or expanded over time. The company will inform the personnel member when changes in the respective job description are made.
About Freedom Health Systems, Inc
Freedom Health Systems, Inc. is a mission-driven healthcare advisory and management consulting firm that partners with behavioral health and human services organizations to improve access, equity, and operational excellence. We specialize in guiding providers through program development, accreditation, compliance, and clinical best practices.
Medical Biller & Coder 1 (Team A) – Remote (Mexico)
This role is a Mexico-based independent contractor engagement. Compensation is listed in USD with local currency equivalent.
Service Overview
Remote LATAM role. This particular role is a Mexico-based independent contractor engagement.
SCOPE OF ASSIGNMENT
The Medical Biller & Coder is responsible for executing accurate, compliant, and timely billing and coding services to support end-to-end revenue cycle operations for outpatient mental health center clients.
Summary of Contract Scope
The Medical Biller & Coder provides medical billing and coding services for outpatient mental health center clients. This includes translating clinical documentation into accurate diagnosis and procedure codes, entering charges, submitting claims, correcting errors, and supporting accounts receivable workflows. All services are performed under the functional oversight and quality review of the Medical Billing & Coding Analyst 1 (Team Lead – Team A) and are a critical component of the Revenue Cycle Management process.
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; evade 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 (Mexico‑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 2–4 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
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📌 Medical Biller & Coder 1 – Remote (Mexico) (Xico)
🏢 American HomeStays
📍 Xico