Setup: Remote Schedule: 8

working hours
per day + 1-hour unpaid break Job Summary We are seeking an experienced Medical Biller skilled in interpreting U.
S. medical records, processing insurance claims, and auditing medical bills against approved treatments, provider estimates, and final charges.

Key Responsibilities
• Medical Record Review: Read and interpret clinical notes, diagnoses, MRI reports, treatment plans, and procedures.
• Specialized Treatment Review: Understand records related to MRI, Physical Therapy, Pain Management, PRP Injections, Chiropractic Care, and Shockwave Therapy.
• Medical Billing Audit: Compare estimates, approved procedures, and final bills to identify discrepancies, coding errors, and unsupported charges.
• Medical Coding: Apply and verify ICD-10-CM, CPT, and HCPCS codes.
• Claims Processing: Prepare, submit, and monitor U.
S. healthcare insurance claims, including private insurance, Medicare, and Medicaid.
• Denial Management: Investigate rejected or denied claims, correct errors, and resubmit when necessary.
• Insurance Verification: Check patient eligibility, coverage, benefits,



and authorization requirements.
• Payment Posting: Record payments, adjustments, and denials accurately.
• Provider Coordination: Communicate with insurance companies and healthcare providers to resolve billing issues.
• Documentation and Reporting: Maintain HIPAA-compliant records and prepare claims, accounts receivable, and collection reports. Qualifications
• Proven experience in U.
S. medical billing, medical coding, claims processing, or Revenue Cycle Management (RCM).
• Strong ability to read, interpret, and analyze medical records, especially for the specialized treatments listed above.
• Knowledge of medical terminology, diagnoses, procedures, and treatment documentation.
• Familiarity with ICD-10-CM, CPT, and HCPCS coding.
• Experience auditing medical bills against approved treatments and provider estimates.
• Knowledge of U.
S. insurance claims and billing processes.
• A graduate of a medical-related course is preferred.

📌 Medical Coder (Bogotá)
🏢 Virtual Champs Global
📍 Bogotá