Medical biller & coder 1 – remote (mexico) (Baja California)

Medical biller & coder 1 – remote (mexico) (Baja California)

11 ago
|
American HomeStays
|
Baja California

11 ago

American HomeStays

Baja California

Remoto: Teletrabajo

DISCLOSURESThe 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, IncFreedom 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 dical 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 OverviewRemote LATAM role. This particular role is a Mexico-based independent contractor engagement.SCOPE OF ASSIGNMENTThe 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 ScopeThe 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 RE SCOPE OF WORK & DELIVERABLESReview 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 documentationEnter charges accurately into the EHR or billing systemSubmit claims timely and in compliance with payer‑specific requirementsVerify patient demographics, insurance information, and payer details prior to claim submissionIdentify and correct claim rejections, coding errors, and data entry issuesSupport denial resolution activities by correcting coding or documentation issues as directedEnsure all services rendered are captured and billed; evade suspected missed chargesMaintain organized, audit‑ready billing records and supporting documentationAdhere to workflows, quality standards, and productivity expectations established by the Team LeadCommunicate documentation gaps, authorization issues, or system barriers promptly to the Team LeadUNSCHEDULED / SUPPORT DUTIESAssist with billing backlogs or high‑volume periodsSupport internal quality assurance reviews and auditsParticipate in training, coaching, and cross‑training activitiesProvide coverage for essential billing tasks during team member absencesSupport process improvement initiatives related to billing accuracy and turnaround timeTechnology, Data Security & Monitoring RequirementsAll 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 rateCharge entry accuracy and completenessClean claim submission rateClaim rejection rateTimeliness of claim submissionError correction and resubmission turnaround timeAudit findings and error trendsAdherence to established workflows and instructionsResponsiveness to Team Lead requests and escalationsPHYSICAL DEMANDSProlonged periods sitting at a desk and working on a computerContinuous use of EHR and billing platformsFrequent virtual communication via chat, phone, or videoWORKING CONDITIONSFully remote (Mexico‑based) via assigned Amazon WorkstationProduction‑driven, deadline‑oriented revenue cycle environmentCollaboration across time zones with U. S.‑based leadership and client operationsRequired Qualifications & ExpertiseMinimum 2–4 years of U. S. medical billing and coding experienceOutpatient mental health or behavioral health billing experience preferredWorking knowledge of CPT, ICD‑10‑CM, and basic HCPCS codingFamiliarity with U. S. insurance, Medicaid, and managed care billing processesStrong attention to detail and accuracyAbility to follow defined workflows and quality standardsStrong written and verbal English communication skillsExperience working in secure virtual workstation environments preferredProfessional coding certifications (CPC or equivalent) preferred

📌 Medical biller & coder 1 – remote (mexico) (Baja California)
🏢 American HomeStays
📍 Baja California

Postulate a este anuncio

Muestra tus habilidades a la empresa, rellenar el formulario y deja un toque personal en la carta, ayudará el reclutador en la elección del candidato.

Suscribete a esta alerta:

Recibe por email las nuevas ofertas de trabajo para: medical biller & coder 1 – remote (mexico) (baja california) / baja california

Suscribete a esta alerta:

Recibe por email las nuevas ofertas de trabajo para: medical biller & coder 1 – remote (mexico) (baja california) / baja california