Medical Biller & Coder
for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections if posting has real specific content. We must not repeat job title as heading. Must not include Job ID etc. Must preserve all substantive info, no invention. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, application instructions. Also remove the warning about contacting outside platform? That's boilerplate? It's a scam warning? It says "Any individual or company reaching out about this position outside of this platform will be automatically disqualified." That's a warning; we should remove it as boilerplate. Also the repeated reminder at end. Also "Flexible work from home options available." That's schedule/benefit? It's about remote options; but posting says position is in-person or hybrid, must reside within commuting distance, fully remote not considered. Then later says "Flexible work from home options available." That's contradictory but it's in posting; we should keep as schedule info? It's about work arrangement. We'll treat as Schedule maybe.
We need sections: About the role (intro paragraph). Responsibilities (list). Requirements (maybe combine Required Qualifications). Qualifications (maybe Preferred Qualifications). Skills (Skills & Competencies). Benefits (list). Pay (if mentioned: "Competitive salary" and "Bonus based on performance" and "401(k) matching". That's compensation info; we can put under Pay section. Schedule: "Full availability Monday through Friday, 8:00 AM – 5:00 PM Central Standard Time (CST)" and "Flexible work from home options available." Also mention in-person/hybrid. So schedule section.
We must not create sections with filler like "commensurate with experience". We have actual content.
We must not repeat job title. So no heading for job title.
We need to output only HTML fragment, no /. Use for each section heading. Use - for lists. Use
for prose.
We need to preserve all substantive info. Let's extract.
Intro: "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."
That's About the role.
Responsibilities list:
- 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 (maybe heading Requirements? The instruction says use headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we need both Requirements and Qualifications sections. Likely Requirements = Required Qualifications, Qualifications = Preferred Qualifications. We'll do that.
Requirements (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
Note: The availability and commuting distance could also go to Schedule, but they are qualifications. We'll keep them under Requirements as they are required. However schedule section also needed; we can still include schedule specifics there. Might duplicate but we need to preserve all info; duplication okay? The instruction says remove duplicated lines. So we should avoid duplicating same info in multiple places. So we need to decide where each piece belongs. The availability and commuting distance are schedule/location requirements. Could go under Schedule section. But they are also qualifications. To avoid duplication, we can put them under Schedule (since it's about work hours and location). However the instruction says we should have a Requirements section for required qualifications. We could put experience, knowledge, systems, etc. under Requirements, and put availability and location under Schedule. That seems reasonable.
Thus Requirements (Required Qualifications) will include:
- 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
- High school diploma or equivalent required; Associate's degree preferred
Schedule section will include:
- 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
- Position is in-person or hybrid; fully remote candidates will not be considered.
- Flexible work from home options available.
But note "Flexible work from home options available." conflicts with earlier but we keep as is.
Benefits list from the top: "Benefits: 401(k)401(k) matchingBonus based on performanceCompetitive salaryEmployee discountsHealth insurancePaid time off". There's a duplication "401(k)401(k)". We need to parse: Benefits: 401(k) matching, Bonus based on performance, Competitive salary, Employee discounts, Health insurance, Paid time off. Also maybe "401(k) matching". We'll list each.
Pay section: Could include Competitive salary, Bonus based on performance, 401(k) matching. But we already put those under Benefits. The instruction says we should have Benefits and Pay separate if posting actually states them. The posting lumps them under Benefits heading. But we can still separate: Benefits: health insurance, paid time off, employee discounts. Pay: competitive salary, bonus based on performance, 401(k) matching. However the posting says "Benefits: 401(k)401(k) matchingBonus based on performanceCompetitive salaryEmployee discountsHealth insurancePaid time off". It seems they considered all as benefits. But we can still create Pay section if there is explicit pay info. There is "Competitive salary" and "Bonus based on performance". That's compensation. 401(k) matching is a benefit. To follow instruction, we should create Pay section only if posting actually states them. It does state competitive salary and bonus. So we can create Pay section with those. Benefits section then includes 401(k) matching, health insurance, paid time off, employee discounts. However the posting lumps them together; but we can still split as long as we don't invent. We are not inventing; we are just categorizing based on content. That seems acceptable.
We must not create Pay/Schedule/Benefits sections unless posting actually states them. It does state benefits (list). It does state competitive salary and bonus (pay). It does state schedule (availability). So okay.
Now Skills section: "Skills & Competencies" list:
- 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
Now we need to ensure we removed boilerplate: the warning lines about contacting outside platform, the repeated reminder, also maybe "⚠️ IMPORTANT: Any individual or company reaching out about this position outside of this platform will be automatically disqualified." and the later "⚠️ Reminder: Any individual or company reaching out outside of this platform will be automatically disqualified." Remove those. Also remove the "Flexible work from home options available."? That's not boilerplate; it's schedule info. Keep.
Also remove any duplicated lines: The benefits line had duplicate "401(k)401(k)". We'll correct to single.
Now produce HTML.
Structure:
About the role
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.
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
Requirements
- 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
- High school diploma or equivalent required; Associate's degree 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
- 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
- for lists. Use
for prose. We need to preserve all substantive info. Let's extract. Intro: "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." That's About the role. Responsibilities list: - 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 (maybe heading Requirements? The instruction says use headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we need both Requirements and Qualifications sections. Likely Requirements = Required Qualifications, Qualifications = Preferred Qualifications. We'll do that. Requirements (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 Note: The availability and commuting distance could also go to Schedule, but they are qualifications. We'll keep them under Requirements as they are required. However schedule section also needed; we can still include schedule specifics there. Might duplicate but we need to preserve all info; duplication okay? The instruction says remove duplicated lines. So we should avoid duplicating same info in multiple places. So we need to decide where each piece belongs. The availability and commuting distance are schedule/location requirements. Could go under Schedule section. But they are also qualifications. To avoid duplication, we can put them under Schedule (since it's about work hours and location). However the instruction says we should have a Requirements section for required qualifications. We could put experience, knowledge, systems, etc. under Requirements, and put availability and location under Schedule. That seems reasonable. Thus Requirements (Required Qualifications) will include: - 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 - High school diploma or equivalent required; Associate's degree preferred Schedule section will include: - 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 - Position is in-person or hybrid; fully remote candidates will not be considered. - Flexible work from home options available. But note "Flexible work from home options available." conflicts with earlier but we keep as is. Benefits list from the top: "Benefits: 401(k)401(k) matchingBonus based on performanceCompetitive salaryEmployee discountsHealth insurancePaid time off". There's a duplication "401(k)401(k)". We need to parse: Benefits: 401(k) matching, Bonus based on performance, Competitive salary, Employee discounts, Health insurance, Paid time off. Also maybe "401(k) matching". We'll list each. Pay section: Could include Competitive salary, Bonus based on performance, 401(k) matching. But we already put those under Benefits. The instruction says we should have Benefits and Pay separate if posting actually states them. The posting lumps them under Benefits heading. But we can still separate: Benefits: health insurance, paid time off, employee discounts. Pay: competitive salary, bonus based on performance, 401(k) matching. However the posting says "Benefits: 401(k)401(k) matchingBonus based on performanceCompetitive salaryEmployee discountsHealth insurancePaid time off". It seems they considered all as benefits. But we can still create Pay section if there is explicit pay info. There is "Competitive salary" and "Bonus based on performance". That's compensation. 401(k) matching is a benefit. To follow instruction, we should create Pay section only if posting actually states them. It does state competitive salary and bonus. So we can create Pay section with those. Benefits section then includes 401(k) matching, health insurance, paid time off, employee discounts. However the posting lumps them together; but we can still split as long as we don't invent. We are not inventing; we are just categorizing based on content. That seems acceptable. We must not create Pay/Schedule/Benefits sections unless posting actually states them. It does state benefits (list). It does state competitive salary and bonus (pay). It does state schedule (availability). So okay. Now Skills section: "Skills & Competencies" list: - 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 Now we need to ensure we removed boilerplate: the warning lines about contacting outside platform, the repeated reminder, also maybe "⚠️ IMPORTANT: Any individual or company reaching out about this position outside of this platform will be automatically disqualified." and the later "⚠️ Reminder: Any individual or company reaching out outside of this platform will be automatically disqualified." Remove those. Also remove the "Flexible work from home options available."? That's not boilerplate; it's schedule info. Keep. Also remove any duplicated lines: The benefits line had duplicate "401(k)401(k)". We'll correct to single. Now produce HTML. Structure:
About the role
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.
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
Requirements
- 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
- High school diploma or equivalent required; Associate's degree 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
- 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