Medical Biller Coder

The Medical Biller Coder is a vital part of MD Ally’s operational backbone, ensuring that every patient encounter is followed by accurate, timely, and compliant billing. This role supports the financial health of the organization and helps sustain our ability to deliver high-quality care through innovative telehealth solutions. About MD Ally MD Ally is a 9-1-1 Telehealth solution that enables greater connectivity between public health & safety and the broader healthcare ecosystem. Our solutions allow dispatchers and first responders to transfer non-emergency callers from 911 to virtual care instead of dispatching valuable, emergency resources. Description Are you looking for a career where you can help transform healthcare and make a real impact behind the scenes? A place where your expertise is valued, your ideas are welcomed, and your work directly contributes to better patient outcomes? Then MD Ally is YOUR company. At MD Ally, our mission is to modernize emergency response by integrating virtual care into the 911 system—reducing unnecessary ER visits, lowering the cost of care, and improving health outcomes. As our Medical Biller Coder, you’ll help ensure that every part of our revenue cycle supports this mission with accuracy, efficiency, and integrity. As our Medical Biller Coder, you will be an integral member of MD Ally’s growing team. The Medical Biller Coder has a critical role in ensuring that our medical billing processes run smoothly, accurately, and efficiently. The Medical Biller Coder ensures that MD Ally is maximizing revenue by adjusting and streamlining all facets of the billing process, including leading collection efforts, streamlining billing process, and recommendations to leadership for coding strategies. The Medical Biller Coder is also responsible for maintaining MD Ally’s clinical compliance and ensuring compliance with all federal, state, and private insurance requirements. How you contribute to our mission:

Key Responsibilities

• Define, implement, and oversee standard and automated processes and procedures that drive consistent and high-quality end-to-end billing and collections.
• Ensure submission of all encounters to payors for timely payment; follow-up on denials and respond to payor inquiries in a timely manner.
• Verify insurance coverage with eligible insurance package.
• Collaborate with healthcare providers to ensure accuracy and completeness of medical records.
• Code medical diagnoses and procedures utilizing custom contracted codes along with coding in accordance with CPT code guidance.
• Process medical claims and submit them to insurance companies.
• Monitor all incoming payments and ensure proper reconciliation of collections in Athena.
• Stay current with changes in healthcare regulations and billing codes.
• Responsible for following up with collections, outstanding A/R and cash posting.
• Provide continuous feedback and training to the clinical team to ensure medical documentation and clinical procedures are in line with best practices for telemedicine bulling.
• Other duties as assigned.

Medical Coder Biller Team Collaboration & Vendor Management

• Develop and execute a financially viable plan for building MD Ally’s billing and coding team and operations based on anticipated growth.
• Drive self and team to set and achieve aggressive billing and financial KPIs, such as net collection rates, clean claim ratios, etc.
• Report regularly on the progress and results of the billing operation to leadership.
• Act as the Company liaison with payors and outside RCM contacts and vendors.
• Manage the billing vendor(s), including ensuring contract adherence and monitoring services to ensure ongoing alignment with MD Ally’s needs.

Compliance

• Develop and maintain processes to ensure clinical compliance and compliance with all insurance plan requirements.
• Assist in the quality enhancement programs and ensure HIPAA compliance.

What you bring to the team:

• 5 years of medical billing & coding experience
• Demonstrated working proficiency of a physician billing or third party payor environment and revenue cycle functions
• CPC, CCA, CCS, COC, RHIT, RHIA or other coding credential through AHIMA or AAPC and be in good standing - required
• Experience working with Athena
• Working knowledge of federal, state, and private payor regulations and other compliance requirements that impact clinic operations
• Experience with telehealth billing strongly preferred
• Experience with emergency medicine billing strongly preferred
• Strong communication and interpersonal skills. Ability to work collaboratively with diverse staff and patient/family population to promote a patient-centered culture

What you can expect:

• Remote work and flexibility
• Direct influence on the growth of a dynamic startup
• Medical, Dental, Vision
• Generous Paid Time Off and Sick Time
• Paid Holidays + extra hours to use on your holiday of choice
• Leadership and professional growth opportunities

Salary $25 - $30 per hour Apply tot his job Apply To this Job