Medical Biller & Coder

Woodlands Primary Healthcare is seeking an experienced Medical Biller and Coder to join our growing family medicine practice. We are looking for a detail-oriented professional with proven expertise in medical billing, coding, revenue cycle management, and a strong background in family or internal medicine.This position is in-person or hybrid. Candidates must reside within a reasonable commuting distance of The Woodlands, TX. Fully remote candidates will not be considered.⚠️ IMPORTANT: Any individual or company reaching out about this position outside of this platform will be automatically disqualified.---KEY RESPONSIBILITIES

Accurately code diagnoses, procedures, and visit documentation using ICD-10, CPT, and HCPCS coding systems

Review and audit daily charts to ensure complete, accurate, and compliant coding

Prepare and submit insurance claims to payers in a timely and compliant manner

Monitor and manage accounts receivable (A/R), including follow-ups on unpaid claims, rejections, and denials

Investigate and resolve billing discrepancies with insurance providers

Communicate effectively with the clinical team to clarify coding and documentation requirements

Maintain comprehensive and confidential patient records in accordance with HIPAA guidelines

Support revenue cycle processes to maximize reimbursements---REQUIRED QUALIFICATIONS

Minimum 3–5 years of hands-on experience in medical billing and coding, specifically in family or internal medicine

Strong knowledge of ICD-10, CPT, and HCPCS coding systems

eClinicalWorks (eCW) experience is required — please specify when you last used it and in what capacity

Familiarity with Trizetto (Gateway EDI) for claims submission and clearinghouse management

Experience with Availity for eligibility verification, claim status, and ERA/EOB retrieval

Comprehensive understanding of medical terminology and billing regulations

Full availability Monday through Friday, 8:00 AM – 5:00 PM Central Standard Time (CST)

Must reside within a reasonable commuting distance of The Woodlands, TX

High school diploma or equivalent required; Associate's degree preferred---PREFERRED QUALIFICATIONS

Certification: CPC, CCA, CCS, or equivalent

Experience coding for mammogram and/or ultrasound procedures

Experience with Remote Patient Monitoring (RPM) billing

Prior experience handling A/R follow-ups and denial management

Familiarity with HEDIS quality measures and documentation standards---SKILLS & COMPETENCIES

Exceptional attention to detail and organizational skills

Strong written and verbal communication skills

Excellent computer literacy and technical proficiency

Ability to work independently and collaboratively within a clinical team

Strong problem-solving skills with a proactive approach

Ability to multitask effectively in a fast-paced environment---If you are dedicated to enhancing healthcare documentation accuracy, improving collections, and maintaining billing compliance, we'd love to hear from you!Join our supportive team and grow with an expanding practice committed to exceptional patient care.⚠️ Reminder: Any individual or company reaching out outside of this platform will be automatically disqualified.