About Expedock
We are a tech-enabled workforce augmentation platform leveraging top 1% offshore talent & cutting edge technology to enable businesses to unlock their full potential.
As we expand into nursing and healthcare services, we are building a dedicated team of licensed clinical professionals who will play a critical role in improving patient care for Medicare and Medicaid populations across the United States.
Role Summary
As a Medical Biller and Coder at Expedock, you will play a vital role in ensuring that U.S. healthcare providers receive accurate and timely reimbursement for the services they deliver. You will review clinical documentation, assign appropriate diagnosis and procedure codes, submit claims to Medicare, Medicaid, and commercial payers, and manage the full billing lifecycle from charge capture through payment posting.
This role is ideal for a detail-oriented, certified coding professional who thrives in a remote environment and wants to contribute to a fast-growing healthcare team with real impact on provider revenue and patient access to care.
Key Responsibilities
- Review clinical documentation and patient records to assign accurate ICD-10, CPT, and HCPCS codes for diagnoses, procedures, and services rendered.
- Prepare and submit clean claims to Medicare, Medicaid, and commercial insurance payers, ensuring compliance with payer-specific guidelines and CMS regulations.
- Work denials and rejections by investigating root causes, correcting errors, preparing appeals, and resubmitting claims in a timely manner.
- Verify patient insurance eligibility, benefits, and prior authorization requirements before and after services are delivered.
- Post payments, adjustments, and contractual write-offs accurately, reconciling accounts to maintain clean accounts receivable.
- Collaborate with clinical teams to clarify documentation, resolve coding queries, and ensure that services are documented to the level required for proper reimbursement.
- Monitor claim status, follow up on outstanding balances, and generate aging reports to identify and resolve revenue leakage.
- Stay current with changes in coding guidelines, payer policies, Medicare and Medicaid regulations, and industry best practices.
- Support internal audits by reviewing coded claims for accuracy, completeness, and compliance with federal and state regulations.
Qualifications
Required:
- Based in the Philippines with a reliable high-speed internet connection and a dedicated, quiet home workspace.
- At least one recognized medical billing and coding certification: CPC (Certified Professional Coder), CCS (Certified Coding Specialist), CMRS (Certified Medical Reimbursement Specialist), CPB (Certified Professional Biller), or equivalent.
- Minimum of 2 years of experience in U.S. medical billing and coding, with demonstrated expertise in Medicare and Medicaid claims processing.
- Proficiency with ICD-10-CM/PCS, CPT, and HCPCS Level II coding systems.
- Hands-on experience with at least one major EHR and billing platform, such as Epic, Oracle Cerner, athenahealth, or eClinicalWorks.
- Strong understanding of the U.S. revenue cycle, including charge capture, claims submission, denial management, payment posting, and accounts receivable follow-up.
- Excellent attention to detail with a commitment to accuracy and compliance.
- Strong written and verbal English communication skills.
- Willingness to work U.S. business hours (schedule may vary by client time zone).
Preferred:
- Experience coding and billing for value-based care programs, including RPM (99453–99458), CCM (99490/99491), CoCM (99492–99494), and PIN
- Familiarity with Medicare Advantage, Medicaid managed care, and commercial insurance billing workflows.
- Previous remote work experience in a BPO, outsourced RCM, or healthcare staffing environment.
- Experience with claims clearinghouses such as Availity, Change Healthcare, or Trizetto.
- Knowledge of HIPAA privacy and security regulations as they apply to billing and coding operations.
Why Join Expedock
- Shape something new. Join a healthcare division being built from the ground up — early team members will have an outsized impact on how we grow, operate, and scale.
- Fully remote, fully supported. Work from home with structured onboarding, client-specific training, and a collaborative team behind you every step of the way.
- Benefits for your protection. HMO coverage and leave credits kick in by your third month, so you're protected while you grow.
- Technology that empowers you. Our AI-driven platform streamlines workflows so you can focus on what matters — accurate coding, clean claims, and strong provider relationships.
- A career with real runway. As Expedock expands into healthcare, opportunities for advancement, specialization, and leadership will grow alongside the team.
- A culture built on excellence. We hire talented people, treat them well, and connect their work to real outcomes for patients and providers.
Candidate Data & Privacy Notice
By submitting your application to Expedock, you acknowledge and consent to the collection, use, and processing of your personal information for recruitment and hiring purposes. Your information will be used to:
• Evaluate your qualifications and suitability for current and future roles
• Communicate with you throughout the recruitment process, improve our hiring processes, and overall candidate experience
• Maintain talent pools for future opportunities, where permitted by law
We handle candidate data with care and in accordance with applicable data protection and privacy regulations. Your information will only be accessed by authorized team members and will not be shared with third parties without your consent, unless required by law.