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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, particularly with ICD-10, CPT, and HCPCS coding standards, while ensuring compliance with payer guidelines and regulations. Proven ability to manage billing processes, resolve discrepancies, and maintain accurate patient records in a healthcare setting.
Highest-signal resume keywords
Medical Billing And CodingICD-10 CodingCPT CodingHCPCS CodingProfessional Coding Certification
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Diagnosis CodingProcedure CodingInsurance Claims ProcessingBilling WorkflowsClaim ResolutionPayer ComplianceAccount Activity NotationInternal AuditsCoding StandardsReimbursement Issues
Soft Skills
Attention To DetailOrganizational SkillsCritical ThinkingProblem-SolvingCommunication Skills
Tools & Technologies
Practice Management System
Certifications & Qualifications
CPCCCSRHITRHIA
Industry Keywords
Sleep MedicineDME BillingHealthcare SettingPayer Policy ChangesHIPAA Compliance
About the role
Key responsibilities & impact- Review clinical documentation and assign accurate diagnosis and procedure codes according to payer guidelines and coding regulations (ICD-10, CPT, HCPCS)
- Process and submit insurance claims while ensuring coding accuracy and payer-specific compliance
- Verify claim accuracy and proactively resolve billing discrepancies
- Investigate unpaid balances, underpayments, and outstanding claims
- Work with insurance carriers to resolve reimbursement issues and recover collectible dollars
- Track, submit, and follow up on appeals and reconsiderations through resolution
- Post insurance and patient payments accurately to accounts
- Maintain timely account activity notations and accurate patient billing records in the practice management system
- Stay current on coding updates, payer policy changes, and industry regulations
- Collaborate with providers and administrative staff on efficient, compliant billing operations
- Assist with internal audits and implement best practices to improve billing accuracy and clean claim rates
- Follow procedures, protocols, and HIPAA requirements; escalate complex issues to the supervisor
- Complete additional assigned tasks
Requirements
What you’ll need- 3+ years of experience in medical billing and coding within a healthcare setting
- Experience in Sleep Medicine and/or DME billing strongly preferred
- Strong understanding of medical coding standards (ICD-10, CPT, HCPCS), billing workflows, and insurance claim processes
- Professional coding certification (CPC, CCS, RHIT, or RHIA) is a plus
- Experience working with private medical practices or outpatient clinics preferred
- Exceptional attention to detail, accuracy, and organizational skills
- Strong critical thinking and problem-solving ability, with capacity to work through complex claim and reimbursement issues
- Excellent written and verbal communication skills
- Ability to work independently and manage priorities in a remote environment
- Genuine interest in sleep, health, and helping people better understand and improve their well-being
Benefits
Comp & perks- Meaningful work that directly improves peoples’ lives
- Be part of an international team across the US, France, Belgium
- Annual team offsite
- Comprehensive health benefits (medical, dental, vision)
- FREE One Medical membership
- 401(k) with company match
- 20 days PTO + 10 paid holidays + 80 hours paid sick leave
- Monthly phone and internet stipend
