Medical Billing and Coding Coordinator (US Remote)

Essential Duties and Responsibilities:
- Abstract and code clinical data.
- Audit medical records to ensure compliance with the organization's coding procedures and standards.
- Accurately enter coded data in a system and validate data entered.
- Research correct coding practices, clearly document and share findings with others.
- Review denials and recommend billing corrections.
- Train staff members on the coding process.

- Enter and verify accurate case and CPT/HCPCS/DRG data

- Process IBR correspondences for the mail

- Review files for completeness and documentation

- Prepare and validate IBR correspondence

- Identify gaps, request information, and resolve discrepancies

- Communicate with stakeholders to support case processing

- Ensure timely, compliant case handling

- Support system updates, redactions, and other IBR tasks

Minimum Requirements

- High School diploma or equivalent with 0 - 2 years of experience.

- Additional clinical licensure may be required based on project.

- At least 2 years of data entry experience
- Ability to perform mathematical calculations
- Experience working with MS office applications (Excel, Word, etc.)
- Excellent organizational, interpersonal and verbal communication skills
- Strong analytical skills, including the ability to research issues
- Ability to work independently and collaboratively in a remote, fast-paced environment
- Willingness to work within a Pacific Time (PST) schedule as needed

Preferred Requirements

- Experience working in a medical office or healthcare setting
- Knowledge of claims processing and reimbursement practices
- Familiarity with CPT, ICD-9/10, HCPCS, and coding guidelines
- Understanding of claims adjudication rules and Medicare methodologies
- Ability to review regulations to determine if exceptions exist that alter industry-standard payment rules

Home Office Requirements

- Maximus provides company-issued computer equipment

- Reliable high-speed internet service



* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity



* Minimum 5 Mpbs upload speeds

#LI-Remote

EEO Statement

Maximus is an equal opportunity employer.

We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.

Pay Transparency

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment.

Annual salary is just one component of Maximus's total compensation package.

Other rewards may include short- and long-term incentives as well as program-specific awards.

Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance...