Medical Billing and Coding Specialist II
About the role
We are seeking a detail-oriented and knowledgeable Medical Billing and Coding Specialist to join our healthcare team. This role is crucial in ensuring accurate billing and coding for a virtual women's health clinic offering comprehensive clinical care and holistic support for complex conditions such as chronic pelvic pain, endometriosis, uterine fibroids, heavy menstrual bleeding, and more.
Location: Fully remote. Status: Full-Time with benefits. Reporting to: Revenue Cycle Manager.
Responsibilities
- Review all claims, referencing the patient charts, prior to claim submission to ensure the coding (ICD/CPT) is representative of our complex patient population, and aligns with clinical protocols, strategic goals, and value-based care objectives.
- Review and process medical records for billing purposes, ensuring billing is accurate and all necessary documentation is complete.
- Manage medical billing processes, including submitting claims to insurance companies and following up on outstanding payments.
- Collect payments as required for services, communicating effectively with patients and insurance providers regarding billing inquiries.
- Collaborate with healthcare providers to resolve discrepancies in patient records or billing issues.
- Ensure compliance with all applicable regulations and guidelines related to medical billing and coding.
- Investigate complex claim and reimbursement issues, identify systemic root causes, and coordinate corrective actions across teams.
- All other duties as assigned by the Revenue Cycle Manager and/or Revenue Cycle Lead.
Requirements
- Efficient in their processes and quickly adapts to complex billing and coding needs.
- Proficient in medical coding practices, including familiarity with ICD-10 codes.
- Strong understanding of medical terminology and the healthcare industry.
- Experience in a medical office environment, particularly in billing or coding roles.
- Knowledge of various medical billing systems and software applications (Athena preferred).
- Excellent attention to detail and organizational skills to manage multiple tasks efficiently.
- Strong communication skills for effective interaction with patients, healthcare providers, and insurance companies.
- Ability to work independently while also being a collaborative team player.
Preferred Experience
- 10+ years of experience in any revenue cycle role.
Benefits
- Comprehensive medical, dental, and vision insurance.
- HSA & FSA options.
- 401(k).
- Unlimited PTO.
- Benefit perks like Wellhub and Talkspace.
- Work alongside a passionate, mission-driven team transforming women’s healthcare.
Pay
$25-27/hr
About Us
Visana Health is redesigning women's healthcare by bringing a patient-centered human touch to care for complex conditions. Women’s health has been treated like a narrow set of “moments” for far too long. Visana is building whole-person care across life stages, with deep clinical expertise in complex, high-cost conditions like menopause, endometriosis, and PCOS. In this role, you will help design experiences that allow patients to access care more easily and receive the support they need. Your work will directly shape how members engage with Visana and how clinicians deliver care through our platform.
As part of your role, you may come into contact with sensitive patient information governed by HIPAA. Visana will provide security and privacy training.