job description
Join Penbrothers as a Medical Coding and Billing Specialist and play a pivotal role in ensuring accurate and timely healthcare reimbursements. In this remote position based in Bali, you will be responsible for translating medical procedures, diagnoses, and services into standardized codes for billing and insurance claims. Your expertise will directly contribute to the financial health of healthcare providers while maintaining compliance with industry regulations.
This is a unique opportunity to work in a dynamic, international environment while enjoying the flexibility of remote work from one of the world’s most sought-after destinations. Ideal for detail-oriented professionals with a passion for healthcare administration and a commitment to precision.
Responsibility
- Accurately assign ICD-10, CPT, and HCPCS codes to patient diagnoses, procedures, and services.
- Prepare and submit clean claims to insurance companies, government programs (e.g., Medicare, Medicaid), and other payors.
- Review and verify patient records for completeness, accuracy, and compliance with coding guidelines.
- Resolve claim denials, rejections, or discrepancies by collaborating with healthcare providers and insurance representatives.
- Stay updated on changes in coding standards, healthcare regulations, and payer policies.
- Maintain strict confidentiality of patient information in accordance with HIPAA and other data protection laws.
- Generate reports on billing activities, claim statuses, and revenue cycles for management review.
- Provide training and support to clinical staff on proper documentation practices to ensure coding accuracy.
Qualifications
- Bachelor’s degree in Health Information Management, Medical Technology, Nursing, or a related field. Certified Professional Coder (CPC) or equivalent certification is a plus.
- Minimum 2 years of experience in medical coding and billing, preferably in a hospital, clinic, or revenue cycle management setting.
- Proficiency in ICD-10-CM, CPT, and HCPCS coding systems and familiarity with medical terminology, anatomy, and physiology.
- Experience with electronic health records (EHR) and billing software (e.g., Epic, Meditech, or similar).
- Strong analytical skills with the ability to interpret complex medical records and identify coding discrepancies.
- Excellent attention to detail and organizational skills to manage high volumes of claims efficiently.
- Familiarity with HIPAA, CMS, and other healthcare compliance requirements.
- Ability to work independently in a remote setting with reliable internet connectivity.