Medical Biller & Coder 7 - Remote (Peru)

Medical Biller & Coder 7 (Team D)

This document defines the scope of work and service expectations for an independent contractor engagement and does not create an employment relationship. Scope, deliverables, tools, priorities, and assignments may be modified through written amendment based on client needs, regulatory requirements, or contractual obligations.

Peru (Remote)

Remote LATAM role. Compensation listed in USD with local currency equivalent. This particular role is a Peru-based independent contractor engagement.

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.

While Freedom Health Systems does not provide direct clinical services, the organization delivers critical operational support through revenue cycle management, prior authorization, medical billing and coding, compliance consulting, and administrative services to outpatient behavioral health providers.

Service Title: Medical Biller & Coder 7 (Team D)

Alternate Service Titles: Medical Billing Specialist (Contractor), Medical Coding Specialist (Contractor)

Contracting Entity: Freedom Health Systems, Inc. (In support of outpatient mental health center clients under contract)

Division: Accounting & Finance

Department: Accounts Receivables

Unit: Medical Billing & Coding (Revenue Cycle Management Services)

Benefits Package: Not applicable (Independent Contractor)

Service Hours: Monday – Friday, aligned with U.S. Eastern Time business hours (8:00 AM EST – 5:00 PM EST or as otherwise contractually agreed)

Reporting & Coordination: The contractor will coordinate daily service delivery with the Medical Billing & Coding Analyst 4 (Team Lead – Team D). Escalations, risks, or unresolved issues will be routed through the Team Lead to the Accounts Receivables Department Manager as required.

Contract Classification: W8BEN – Independent Contractor

Compensation Range: USD $5.00–$6.50 (≈ PEN 18.5–24/hr)

Anticipated Travel: None

Scope of Assignment: This scope of work applies to Team D, supporting one or more outpatient mental health center clients. The Medical Biller & Coder is responsible for executing accurate, compliant, and timely billing and coding services to support end-to-end revenue cycle operations.

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 4 (Team Lead – Team D) 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; escalate 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 (Peru-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