Location: Remote- India

Shift: US Eastern Time overlap required

Experience: Minimum 5 years of US healthcare billing/coding experience

Specialties: Cardiology and Gastroenterology initially; Ambulatory Surgery Center (ASC) later

EHR Requirement: Strong hands-on eClinicalWorks (eCW) experience required

Employment Type: Full-time

Role Overview

We are looking for an experienced Medical Biller / Coder with strong hands-on experience using eClinicalWorks (eCW) for US physician-practice billing.

The ideal candidate should have at least 5 years of US medical billing and coding experience, preferably supporting Cardiology and/or Gastroenterology practices.

This is not a basic charge-entry position. We are looking for someone who understands the complete revenue cycle and can independently review documentation, coding, claims, rejections, denials, payment issues, and accounts receivable.

The role will initially support our Cardiology and Gastroenterology practices and will subsequently expand to support an Ambulatory Surgery Center (ASC).

Key Responsibilities eClinicalWorks Billing

- Perform day-to-day billing activities directly within eClinicalWorks (eCW).
- Review encounters and ensure charges are entered correctly.
- Review claims before submission.
- Work eCW billing work queues.
- Review claim edits and clearinghouse rejections.
- Correct rejected claims and resubmit them.
- Review claim status within eCW and payer systems.
- Review patient and insurance information for billing accuracy.
- Review ERA/EOB information.
- Work outstanding A/R from eCW reports.
- Maintain appropriate account and claim notes.
- Run and interpret billing, aging, payment, denial, and productivity reports.




- Identify workflow or configuration issues that may be affecting clean claim submission.
- Coordinate with front desk, clinical staff, referral staff, and providers when billing information is incomplete.

Candidates must have genuine hands-on eCW billing experience and should be comfortable navigating the billing module independently.

Coding Responsibilities

- Review clinical documentation and assign appropriate:

-- ICD-10-CM -- CPT

-- HCPCS

-- Modifiers

- Review coding for completeness and medical necessity.
- Identify documentation deficiencies before claims are submitted.
- Review E/M coding where applicable.
- Validate procedure and diagnosis combinations.
- Review modifier usage.
- Identify bundling or unbundling concerns.
- Review payer-specific coding requirements.
- Ensure billed services accurately reflect the physician documentation.

Claims & Denial Management

- Submit clean claims electronically.
- Review clearinghouse and payer rejections.
- Correct and resubmit rejected claims.
- Investigate denied claims.
- Determine root cause of denials.
- Submit corrected claims.
- Prepare reconsiderations and appeals.
- Follow up with insurance carriers.
- Review authorization-related denials.
- Review eligibility-related denials.
- Identify coding and modifier-related denials.
- Identify medical-necessity denials.
- Track recurring denial patterns.
- Recommend workflow changes to reduce repeat denials.





The candidate should not simply work denial queues but should be able to explain why the denial occurred and how to prevent it from occurring again.

Accounts Receivable

- Work insurance A/R.
- Follow up on unpaid and underpaid claims.
- Review aging buckets.
- Prioritize high-value and high-risk accounts.
- Contact payers regarding outstanding claims.
- Review payer portals and claim status.
- Identify claims approaching filing deadlines.
- Follow up on appeals and reconsiderations.
- Document all follow-up activity accurately.
- Identify systemic A/R issues and escalate them.

Required Qualifications

- Minimum 5 years of US medical billing and coding experience.
- Strong hands-on eClinicalWorks billing experience.
- Ability to independently navigate eCW billing workflows.
- Strong understanding of US healthcare revenue cycle.
- Strong ICD-10, CPT, HCPCS, and modifier knowledge.
- Experience with Medicare and commercial payers.
- Strong denial-management experience.
- Strong insurance A/R follow-up experience.
- Ability to read physician documentation and identify billing/coding issues.
- Experience using payer portals and clearinghouses.
- Strong written and spoken English.
- Ability to work independently.
- Solid attention to detail.
- Ability to work with US-based teams during US Eastern Time hours.

Preferred Qualifications

- Cardiology billing experience.
- Gastroenterology billing experience.
- ASC billing experience.
- CPC, CCS, CPB, or similar certification.
- Experience managing eCW billing reports.
- Experience with eCW ERA/EOB workflows.
- Experience troubleshooting billing workflow problems.
- Experience with Medicare Advantage plans and major commercial payers.

📌 Senior Medical Biller / Coder- eClinicalWorks, Cardiology & GI (India)
🏢 Infinintia
📍 India