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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, while ensuring compliance with payer guidelines and regulatory standards. Maintains accuracy in claim submissions and supports optimal revenue cycle performance through effective communication and organizational skills.
Highest-signal resume keywords
ICD-10-CM CodingCPT CodingHCPCS CodingMedical Billing ExperienceCertified Professional Coder (CPC)
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 SubmissionPayment PostingDenial ManagementCoding ComplianceCoding AccuracyRevenue Cycle ManagementElectronic Medical Records (EMR)Practice Management SoftwareCoding for Allergy Testing
Soft Skills
Attention to DetailCommunication SkillsOrganizational SkillsIndependent WorkProcess Improvement
Certifications & Qualifications
Certified Professional Coder (CPC)Certified Coding Specialist (CCS)Certified Professional Biller (CPB)
Industry Keywords
HIPAA CompliancePayer GuidelinesMedicare RegulationsQuality AssuranceElectronic Remittance Advice (ERA)Explanation of Benefits (EOB)Specialty Physician PracticeAllergy & Asthma CodingPulmonary Procedures CodingInsurance Billing
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 as needed
- Maintain accurate patient and billing records within the practice management system
- Code and bill allergy testing procedures, immunotherapy services, biologic injections, pulmonary function testing, and related specialty services
- Verify coding accurately 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 initiatives 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 all 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
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Biller (CPB), or equivalent certification preferred
- Experience coding allergy testing, immunotherapy, biologic medications, and respiratory procedures preferred
- Previous remote medical billing and coding experience preferred
- Requires a dedicated, secure, and HIPAA-compliant home office workspace
- Reliable high-speed internet access required
- Ability to work independently while meeting productivity and quality standards
- Candidates must be available to work Monday through Friday, 8:00 a.m. to 4:30 p.m. Pacific Time (PT) consistently
- Ability to stand, walk, and move throughout the clinic, if applicable, for extended periods; occasionally lift objects up to 25 lbs., bend, stoop, or reach as needed
- Frequent use of hands and fingers for patient care and equipment operation
- Must have normal (or corrected) vision and hearing and be able to respond quickly in a fast-paced clinical environment, if applicable
Benefits
Comp & perks- Competitive compensation
- Professional development opportunities
- Medical insurance
- Dental insurance
- Vision insurance
- 401(k) retirement plan with employer matching
- Paid time off (PTO)
- Sick time
- Floating holidays
- Holiday pay
- Supportive, mission-focused culture
- Opportunity to shape the future of a thriving allergy and asthma practice