Circle Medical - a UCSF Health Affiliate is hiring a
Medical Biller and Coder in United States

Summary

Circle Medical is seeking an eager, detail-oriented Medical Biller and Coder to join their Revenue Cycle Team. The role involves reviewing patient claims, appealing claim denials, ensuring compliance with coding guidelines, and communicating with clinical leadership and third-party billing companies. The ideal candidate should have excellent communication skills, organizational skills, time management skills, knowledge of CPT and ICD-10 codes, and proficiency with relevant software. An Associate degree in a related field is preferred, along with 2+ years of experience in a primary care clinic setting.

Requirements

• Excellent verbal and written communication skills
• Outstanding organizational skills and attention to detail
• Superior time management skills with a proven ability to meet deadlines
• Knowledge of CPT and ICD-10 codes
• Ability to identify coding trends and areas of risk
• Proficient with Google Workspace, Microsoft Office Suite, or related software

Responsibilities

• Review patient claims for accuracy and completeness and proactively obtain any missing payer information for inclusion
• Appeal medical insurance claim denials in a timely manner
• Ensure compliance with procedures and coding guidelines
• Answer patient inquiries related to coverage denials and coding reviews for resubmissions as necessary
• Communicate with clinical leadership and third-party billing company on issues regarding CPT & ICD-10 coding selections

Preferred Qualifications

• Associate degree in business, finance, health administration or a related field preferred
• Certified Professional Coder (CPC)
• 2+ years of experience in a primary care clinic setting (preferred)
• Mental/behavioral health experience is a plus

Benefits

• Generous vacation, and full medical/dental benefits
• Accrued vacation eligibility after 90-days probation period
• 10 annual paid Holidays
• $500 annual education and development reimbursement
• Medical, Dental, Vision benefits, Life & additional supplemental coverage options