Job Summary

Houston Skilled Consultancy is seeking a highly skilled and detail-oriented ICD-10-CM Coding and Claims Submission Specialist to join our remote healthcare team. The ideal candidate will play a critical role in accurately coding medical diagnoses and procedures, ensuring precise documentation, and submitting claims efficiently to insurance providers. This position demands meticulous attention to detail, strong knowledge of medical coding standards, and the ability to work independently in a remote environment.

As part of our mission to streamline healthcare billing and revenue cycle management, you will contribute to reducing claim denials, improving compliance, and enhancing patient satisfaction.

Key Responsibilities

• Accurately assign ICD-10-CM codes to diagnoses and medical procedures based on clinical documentation.

• Review and analyze patient records, physician notes, and other medical documentation to ensure coding accuracy.

• Submit insurance claims promptly, adhering to payer guidelines and deadlines.

• Collaborate with healthcare providers and billing teams to resolve coding discrepancies and claim rejections.

• Maintain knowledge of the latest coding guidelines, regulatory changes, and best practices.

• Ensure compliance with HIPAA, healthcare regulations, and organizational policies.

• Generate reports and provide insights on coding trends, claim denials, and opportunities for process improvement.

• Support ongoing training and development initiatives for coding staff when required.

Required Skills and Qualifications

• Certification in ICD-10-CM coding or equivalent healthcare coding certification.

• Strong understanding of medical terminology, anatomy, and physiology.

• Proficiency in medical billing software and electronic health record (EHR) systems.

• Excellent attention to detail and analytical skills.

• Strong written and verbal communication skills for effective collaboration with team members and providers.

• Ability to prioritize tasks and manage workload efficiently in a remote environment.

Experience

• Minimum of 2 years of experience in ICD-10-CM coding, medical claims submission, or healthcare revenue cycle management.

• Experience with insurance claims processing and knowledge of payer-specific guidelines is highly preferred.

• Prior remote work experience is an advantage.

Working Hours

• Full-time remote position.

• Standard working hours: Monday to Friday, 9:00 AM – 6:00 PM (IST/negotiable based on client requirements).

• Flexibility in working hours may be available for qualified candidates.

Knowledge, Skills, and Abilities

• Deep knowledge of ICD-10-CM coding guidelines, CPT/HCPCS coding, and healthcare documentation.

• Ability to interpret complex medical records and ensure accurate coding.

• Strong problem-solving and decision-making skills.

• Proficiency in Microsoft Office Suite and coding/billing software.

• Self-motivated, disciplined, and capable of working independently with minimal supervision.

• Ability to maintain confidentiality and handle sensitive patient information responsibly.

Benefits

• Competitive salary and performance-based incentives.

• Flexible work-from-home arrangement.

• Opportunity to work with a leading healthcare consultancy with global clients.

• Professional development and certification support.

• Health and wellness benefits (as applicable).

Why Join Houston Skilled Consultancy

• Be part of a forward-thinking organization driving excellence in healthcare revenue cycle management.

• Gain exposure to diverse healthcare clients and medical specialties.

• Collaborate with a supportive, experienced remote team.

• Grow your career with continuous learning opportunities in medical coding and healthcare administration.

• Enjoy a flexible work-life balance while contributing to impactful healthcare operations.

How to Apply

Interested candidates are invited to submit their updated resume and cover letter highlighting their ICD-10-CM coding experience to us
Please include the subject line: Application – ICD-10-CM Coding and Claims Submission Specialist (Remote).

Only shortlisted candidates will be contacted for the next stage of the recruitment process.