Primary Care Billing & Coding Specialist II - Remote/Hybrid

Role

The Primary Care Billing & Coding Specialist II reports to the Director of Revenue Cycle Management and is responsible for maintaining financial health through compliant billing, coding, collections, and write-off policies. The role serves as the primary financial point-of-contact for patients and acts as a coding resource to clinical staff. This is a Remote/Hybrid position with a monthly clinic rotation (one or two days on-site or as needed).

Key Responsibilities

• Respond to billing inquiries from patients and third-party payers.
• Consult with physicians and clinical staff to clarify documentation and interpret clinical information.
• Act as a coding resource for clinical staff and verify accuracy of diagnosis and CPT codes on encounters.
• Approve claims daily in Practice Management software and send patient statements.
• Post insurance and patient payments and verify patient accountability, ensuring other payment avenues have been exhausted.
• Maintain competency and awareness of coding changes that affect organization services.
• Work aging reports and participate in staff meetings, seminars, and other assigned duties.

Requirements

• High School Diploma or GED; completion of an accredited coding training program.
• Preference given to candidates with 2+ years of medical coding and billing experience.
• CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist–Physician) preferred, or 2+ years of relevant experience in lieu of certification.
• Previous knowledge and experience using EMR (electronic medical record) and Practice Management software.

Employment Details

• Full-time, Regular employee
• Scheduled weekly hours: 40 (Monday–Friday)
• Location: NM Santa Fe - Admin Galisteo (Remote/Hybrid with clinic rotation)

Benefits

• Competitive rate of pay
• Full benefits package including medical, dental, and vision insurance
• 401(k)
• Paid time off and generous time-off plans
• Tuition reimbursement availability
• Professional development programs
• 340B prescription access with substantial employer contribution