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We are looking for an experienced Medical Biller and collections specialist to support coding accuracy, reimbursement follow-up, and account resolution for outpatient services in Fremont, California. This Long-term Contract position is ideal for someone with a strong background in medical coding and collections who can manage claims activity with precision while helping maintain steady revenue cycle performance. The role requires close attention to encounter documentation, payer requirements, and timely collection efforts across insurance, commercial, and patient accounts.
Job Responsibility
Review outpatient encounters and related documentation to assign accurate medical codes using current ICD-10 and CPT guidelines
Prepare, evaluate, and correct claim details to support clean submission and reduce billing errors or payment delays
Follow up on outstanding balances with commercial insurers, workers’ compensation carriers, and patients to drive timely account resolution
Investigate denials, underpayments, and rejected claims, then take appropriate action to secure reimbursement
Maintain complete and organized encounter forms and billing records to support coding integrity and audit readiness
Communicate with internal teams and external payers to clarify coding, billing, and collection issues affecting payment status
Monitor aging accounts and prioritize collection activity based on payer response, account history, and reimbursement potential
Apply certified coding knowledge to ensure services are documented and billed in accordance with regulatory and payer standards
Requirements
At least 3 years of experience in medical coding, billing, or collections within a healthcare environment
Working knowledge of ICD-10 and CPT coding for outpatient services
Certified coding credential or comparable coding certification is required
Hands-on experience handling workers’ compensation claims and outpatient encounter documentation
Proven ability to manage insurance, commercial, and patient collections with strong follow-through
Familiarity with encounter forms, claim review processes, and reimbursement workflows
Strong attention to detail and the ability to identify coding or billing discrepancies accurately