← All open rolesApply now
Medical Billing & Coding Specialist (Remote - Night Shift)
AB7 Solutions · Healthcare Operations / Revenue Cycle Management
2–6 yrsNot disclosedRemote (India)Remote10 openings
Posted 2 weeks agoFull-time
Job highlights
- 100% remote role - work from anywhere in India
- Night shift; must be willing to work in any time zone as per client requirements
- AAPC (CPC) or AHIMA (CCS) certification is MANDATORY
- End-to-end RCM scope - coding, billing, denials and AR in one role
- Multi-specialty and multi-payer exposure across US practices
- Immediate joiners preferred
- Shortlisted applicants are contacted by our recruitment team within 4 working days
Job description
Certified medical billers and coders to run the full revenue cycle for our US healthcare clients - coding, charge entry, claim submission, denial management, AR follow-up and payment posting. Fully remote, night shift, flexible to client time zones. CPC / CCS certification is mandatory.
We are hiring certified Medical Billing & Coding Specialists to manage the revenue cycle for our US healthcare clients from end to end.
This is a full-scope RCM role, not a single-queue job. You will assign the codes, build and submit clean claims, work the rejections and denials, chase the AR and post the payments - and you will be measured on the money that actually lands in the practice's account, not on the volume of charts you touched.
You will work directly with providers, practice managers and payers, so accuracy, compliance and clear written English matter as much as speed. Every code you assign must be supported by the documentation, and every appeal you write must stand up on its own.
This is a night shift role. Our clients operate across multiple US time zones, so you must be genuinely willing to align your working hours to whichever schedule the client requires, including a change of hours if you are moved to a different account.
CERTIFICATION REQUIREMENT
An active AAPC (CPC, COC, CIC or specialty) or AHIMA (CCS, CCA, RHIT) certification is mandatory for this role. Applications without a valid certification will not be shortlisted.
SELECTION PROCESS
Submit your details now. If our team shortlists you for the role, our recruitment team will contact you within the next 4 working days with the next steps of the interview process. If you do not hear from us within that period, please consider that our recruitment team has not shortlisted you for this role on this occasion.
What you'll do
- Review clinical documentation and assign accurate ICD-10-CM, CPT, HCPCS Level II codes and the correct modifiers for every encounter.
- Apply E/M levelling correctly as per current CMS and payer guidelines, and query providers where documentation does not support the level billed.
- Complete charge entry and demographic entry accurately and within the agreed turnaround time.
- Scrub and submit clean claims electronically and on paper, and keep the first-pass clean claim rate at or above target.
- Work clearinghouse and payer rejections daily and resubmit corrected claims promptly.
- Investigate denials, identify the root cause, and file appeals with supporting documentation and a clear written argument.
- Run AR follow-up by ageing bucket - call payers, check portals, escalate aged claims and bring down days in AR.
- Post ERA and EOB payments, reconcile adjustments and write-offs, and flag underpayments against the contracted fee schedule.
- Verify eligibility, benefits and prior authorisation requirements where the account calls for it.
- Manage patient statements and patient-responsibility balances as per the client's policy.
- Track and report on key RCM metrics - clean claim rate, denial rate, days in AR, collection ratio - and explain movements.
- Maintain strict HIPAA compliance and secure handling of PHI on a remote setup.
- Keep up with annual CPT/ICD updates, payer policy changes and CMS guideline revisions, and apply them without being told.
- Coordinate with providers, practice managers and internal QA on documentation gaps, coding queries and process improvements.
What we're looking for
- 2-6 years of hands-on experience in US medical billing and coding across the full revenue cycle.
- ACTIVE AAPC (CPC, COC, CIC or specialty) or AHIMA (CCS, CCA, RHIT) certification is MANDATORY - certification number will be verified.
- Strong working knowledge of ICD-10-CM, CPT, HCPCS Level II, modifiers, NCCI edits, LCD/NCD policies and E/M guidelines.
- Proven experience with denial management and appeals - you can name the denial codes you work most and how you resolve them.
- Solid AR follow-up experience including payer calls, portal work and ageing analysis.
- Hands-on experience with billing and EHR/practice management platforms (Epic, Athenahealth, eClinicalWorks, Kareo, AdvancedMD, NextGen, Office Ally, Availity or similar) and with clearinghouses.
- Excellent English communication skills - clear spoken English for payer calls and precise written English for appeals and client reporting.
- Working knowledge of US payers - Medicare, Medicaid, commercial plans and workers' compensation - and of HIPAA compliance.
- Strong numerical accuracy and attention to detail; comfortable working in Excel or Google Sheets for AR and reconciliation.
- Willing to work night shifts, and willing to work in ANY time zone as per client requirements.
- A reliable home working setup: stable high-speed internet, a working laptop or desktop, a good quality headset, power backup and a quiet, private, distraction-free workspace.
- Any Graduate; a background in life sciences, nursing, pharmacy or a paramedical discipline is preferred.
- Ready to join immediately or at short notice.
Nice to have
- Multi-specialty coding experience - emergency medicine, cardiology, orthopaedics, radiology, anaesthesia, oncology, behavioural health or surgery.
- Experience with HCC / risk adjustment coding.
- Coding audit or QA experience, or having trained junior coders.
- Credentialing and payer enrolment exposure.
- Experience with out-of-network billing, workers' compensation or no-fault claims.
- Familiarity with AI-assisted coding tools and the ability to review and correct machine-suggested codes.
- Experience handling an account independently as a single point of contact for the client.
What we offer
- Fully remote role - no commute, work from anywhere in India
- Long-term engagement with established US healthcare clients
- Full revenue-cycle ownership rather than one narrow queue
- Exposure to multiple specialties, payers and billing platforms
- Support towards certification renewal and CEUs
- Night shift allowance as per policy
- Growth path into QA, audit, team lead and account management roles
- Compensation discussed based on experience, certification and specialty exposure
Role:Medical Billing & Coding Specialist (Remote - Night Shift)
Industry Type:Medical Services / Healthcare / Revenue Cycle Management
Department:Healthcare Operations / Revenue Cycle Management
Employment Type:Full-time
Role Category:Medical Billing & Coding / RCM
Work Mode:Remote
Education
UG:Any Graduate (Life Sciences, Nursing, Pharmacy or Paramedical preferred)
PG:Any Postgraduate (not mandatory)
Key skills
Medical BillingMedical CodingRCMICD-10-CMCPTHCPCSModifiersE/M CodingNCCI EditsCharge EntryClaim SubmissionDenial ManagementAppealsAR Follow-upPayment PostingERAEOBEligibility VerificationPrior AuthorizationCPCCCSAAPCAHIMAHIPAAMedicareMedicaidUS HealthcareEpicAthenahealtheClinicalWorksKareoAdvancedMDAvailityClearinghouseNight ShiftRemote Work
About AB7 Solutions
AB7 Solutions is a technology and business services partner delivering BPO/KPO, cybersecurity, digital & development, AI & automation, recruitment and remote staffing under one accountable team. We place pre-vetted remote professionals with 140+ clients worldwide.
More about us →