About the role
About Rex.zone Rex.zone connects qualified remote professionals with healthcare operations teams that need dependable medical billing and coding support. Our roles span provider practices, health services organizations, and billing partners, with standardized processes for productivity, QA, and secure handling of protected health information (PHI).
What You Will Do
- Code diagnoses and procedures using ICD-10-CM, CPT, and HCPCS based on clinical documentation
- Perform charge entry, review claim edits, and submit claims via clearinghouses and payer portals
- Work rejections and denials, identify root causes, and submit corrected claims or appeals
- Post payments and reconcile EOB/ERA, manage adjustments, and support AR follow-up to reduce days in A/R
- Run RCM quality checks, maintain audit-ready notes, and improve clean-claim rate and first-pass resolution
Key Workflows and Tools
- Eligibility verification, benefits investigation, and prior authorization support
- Claim scrubbing, denial analytics, and payment variance review
- EHR/PM systems, clearinghouse dashboards, payer portals, and spreadsheet-based aging tracking
Requirements
- 3+ years in medical billing and coding or healthcare RCM operations with consistent QA performance
- Working knowledge of ICD-10-CM, CPT, HCPCS, payer rules, claim edits, and documentation requirements
- Ability to follow SOPs, meet productivity targets, and maintain compliant, secure PHI handling
Remote Work Expectations This is a full-time Remote role based in India. You may align working hours to client time zones when needed and must follow secure work practices consistent with HIPAA-aligned expectations.
How To Apply Apply through Rex.zone and complete screening steps for medical billing and coding workflows. If selected, you may complete a skills check covering coding accuracy, claim edits, denial handling, and payment posting scenarios.
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