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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical billing and coding, including proficiency in ICD-10-CM, CPT, and HCPCS coding systems. Ensures compliance with HIPAA and payer regulations while maintaining accuracy and efficiency in claim submissions and revenue cycle processes.
Highest-signal resume keywords
ICD-10-CM CodingCPT CodingHCPCS CodingMedical Billing ExperienceClaim Submission
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medical TerminologyClaim Denial ManagementPayment PostingCoding ComplianceCoding AccuracyRevenue Cycle ManagementElectronic Medical Records (EMR)Practice Management SoftwareQuality Assurance ReviewsDocumentation Review
Soft Skills
Attention to DetailOrganizational SkillsCommunication SkillsIndependent WorkProcess Improvement
Tools & Technologies
Billing SoftwareCommunication PlatformsHigh-Speed InternetHome Office Workspace
Certifications & Qualifications
CPCCCSCPB
Industry Keywords
HIPAA CompliancePayer GuidelinesInsurance BillingAllergy Testing CodingPulmonary Procedures Coding
About the role
Key responsibilities & impact- Review provider documentation for accuracy and completeness
- Assign ICD-10-CM, CPT, and HCPCS codes for office visits, procedures, diagnostic testing, and treatments
- Ensure coding compliance with payer guidelines, Medicare regulations, and industry standards
- Identify documentation deficiencies and communicate with providers for clarification
- Stay current with coding updates, payer requirements, and regulatory changes
- Prepare and submit clean claims electronically to insurance carriers
- Review and correct claim edits and rejections before submission
- Monitor claim status and ensure timely reimbursement
- Process insurance and patient payments accurately
- Review Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERA) postings
- Assist with claim corrections, rebilling, and appeals
- Maintain accurate patient and billing records in the practice management system
- Code and bill allergy testing, immunotherapy services, biologic injections, pulmonary function testing, and related specialty services
- Verify that coding reflects services provided and supports medical necessity requirements
- Assist in identifying coding and reimbursement opportunities while maintaining compliance
- Ensure compliance with HIPAA, payer policies, and federal regulations
- Participate in internal audits and quality assurance reviews
- Maintain confidentiality of patient and practice information
- Support continuous process improvement within the revenue cycle department
- Maintain coding accuracy and productivity standards
- Ensure timely and accurate claim submission
- Minimize coding-related denials and rework
- Support optimal reimbursement and revenue cycle performance
- Maintain compliance with regulatory and payer requirements
Requirements
What you’ll need- High school diploma or equivalent required; associate degree preferred
- Minimum 2 years of medical billing and coding experience, preferably in an Allergy & Asthma, Pulmonary, ENT, or specialty physician practice
- Strong knowledge of ICD-10-CM, CPT, HCPCS, and medical terminology
- Experience with claim submission, payment posting, denial management, and insurance billing
- Proficiency with Electronic Medical Records (EMR) and practice management software
- Strong attention to detail and accuracy
- Excellent communication and organizational skills
- Dedicated, secure, HIPAA-compliant home office workspace
- Reliable high-speed internet access required
- Ability to work independently while meeting productivity and quality standards
- Frequent use of computers, billing software, and communication platforms
- CPC, CCS, CPB, or equivalent certification preferred
- Experience coding allergy testing, immunotherapy, biologic medications, and respiratory procedures preferred
- Previous remote medical billing and coding experience preferred
- Ability to stand, walk, and move throughout the clinic, if applicable, for extended periods
- Ability to occasionally lift objects up to 25 lbs., bend, stoop, or reach as needed
- Normal or corrected vision and hearing and ability to respond quickly in a fast-paced clinical environment, if applicable
Benefits
Comp & perks- Competitive compensation
- Professional development opportunities
- Medical, dental, and vision insurance for eligible full-time employees
- 401(k) retirement plan with employer matching for eligible full-time employees
- Paid time off (PTO)
- Sick time
- Floating holidays
- Holiday pay
- Supportive, mission-focused culture
- Opportunity to shape the future of a growing allergy and asthma practice
