Location : Remote- India

nShift : US Eastern Time overlap required

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

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

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

nEmployment Type : Full-time

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nRole Overview

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

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

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nThis 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.

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

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nKey Responsibilities

neClinicalWorks Billing

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- Perform day-to-day billing activities directly within eClinicalWorks (eCW).
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- Review encounters and ensure charges are entered correctly.
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- Review claims before submission.
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- Work eCW billing work queues.
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- Review claim edits and clearinghouse rejections.
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- Correct rejected claims and resubmit them.
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- Review claim status within eCW and payer systems.
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- Review patient and insurance information for billing accuracy.
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- Review ERA/EOB information.
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- Work outstanding A/R from eCW reports.
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- Maintain appropriate account and claim notes.
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- Run and interpret billing, aging, payment, denial, and productivity reports.
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- Identify workflow or configuration issues that may be affecting clean claim submission.
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- Coordinate with front desk, clinical staff, referral staff, and providers when billing information is incomplete.
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nCandidates must have genuine hands-on eCW billing experience and should be comfortable navigating the billing module independently.

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nCoding Responsibilities

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- Review clinical documentation and assign appropriate:
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n-- ICD-10-CM

n-- CPT

n-- HCPCS

n-- Modifiers

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

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

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nAccounts Receivable

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

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

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- Cardiology billing experience.
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- Gastroenterology billing experience.
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- ASC billing experience.
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- CPC, CCS, CPB, or similar certification.
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- Experience managing eCW billing reports.
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- Experience with eCW ERA/EOB workflows.
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- Experience troubleshooting billing workflow problems.
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- Experience with Medicare Advantage plans and major commercial payers.
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📌 Senior Medical Biller / Coder- eClinicalWorks, Cardiology & GI (Jamnagar)
🏢 Infinintia
📍 Jamnagar