Medical Biller and Coder

Job Description

Job Description

Atlanta, GA | Full-Time | Healthcare Management Company

Phoenix Healthcare Solutions is a growing healthcare management company that partners with medical practices to provide clinical, administrative, revenue cycle, and practice-management services. As we continue to expand, we are looking for an experienced Medical Biller & Coder to join our Revenue Cycle Management team.

This position is ideal for someone who understands the complete medical billing cycle , is highly detail-oriented, and can work independently while managing multiple practice accounts.

Position Summary

The Medical Biller & Coder will be responsible for accurate and timely medical coding, claims submission, payment posting, denial management, accounts receivable follow-up, eligibility verification, and billing reconciliation for physician practices supported by Phoenix Healthcare Solutions.

The ideal candidate will have hands-on experience with physician-office billing , Medicare, Medicaid, commercial insurance, EOBs/ERAs, denials, and AR follow-up.

ey Responsibilities

• Review medical records and encounter documentation for accurate coding and billing
• Assign appropriate CPT, HCPCS, and ICD-10 codes
• Submit clean claims to Medicare, Medicaid, and commercial insurance carriers
• Verify patient insurance eligibility and benefits
• Review claims for errors before submission
• Correct and resubmit rejected and denied claims
• Post insurance and patient payments accurately
• Review EOBs and ERAs
• Work insurance accounts receivable and aging reports
• Follow up on unpaid and underpaid claims
• Investigate claim denials, rejections, and payer discrepancies
• Identify missing documentation and coding issues
• Communicate with physician offices regarding billing questions
• Maintain accurate billing records and supporting documentation
• Reconcile billing activity with payment reports
• Monitor outstanding AR and prioritize collection efforts
• Track payer issues and recurring denial trends
• Assist with monthly billing and revenue reports
• Maintain HIPAA compliance and patient confidentiality
• Meet established billing productivity and accuracy standards
• Work collaboratively with Phoenix's billing, finance, clinical operations, and practice-management teams

Required Qualifications

• 3+ years of medical billing and coding experience
• Strong knowledge of CPT, HCPCS and ICD-10
• Experience with physician/practice billing
• Experience with Medicare, Medicaid and commercial insurance
• Strong understanding of the medical billing cycle
• Experience with claims submission and follow-up
• Experience working denials and AR
• Ability to read and interpret EOBs/ERAs
• Strong computer and data-entry skills
• Excellent attention to detail
• Strong organizational and time-management skills
• Ability to manage multiple practice accounts
• Ability to work independently with minimal supervision
• Strong written and verbal communication skills
• Commitment to HIPAA and patient privacy

Preferred Qualifications

• CPC, CCS, CPB, or other recognized billing/coding certification
• Experience with Claim.MD or similar clearinghouse platforms
• Experience with electronic eligibility verification
• Experience with physician practice management systems/EHRs
• Experience with chronic care management or other care-management billing
• Experience with APCM, CCM, cognitive assessment, allergy or diagnostic-service billing
• Experience with Medicare and commercial payer policies
• Experience identifying underpayments and billing opportunities

What We're Looking For

We are looking for someone who is:

Accurate. Accountable. Organized. Proactive.

You should be comfortable looking at an aging report and knowing what needs to be worked, why it has not been paid, and what needs to happen next.

We are not looking for someone who simply submits claims.

We want a revenue-cycle professional who takes ownership of the account from charge entry through payment.