Medical Billing Specialist (CPC) - Feb 2026

Zócalo Health

18h • $28 - $32 • Remote

About The Position

The Medical Billing Specialist (CPC) will join Zócalo Health at a critical time in the history of our company and of primary care. The opportunity for impact is large and growing, and Zócalo Health will lead the transition from fee-for-service to value-based care for the growing Latino community in the U.S.

An integral member of the Revenue Cycle Management team, you will be responsible for supporting accurate, compliant, and timely medical billing across Primary Care, Urgent Care, and Behavioral Health services, including Medi-Cal managed care plans and Medi-Cal initiatives such as Enhanced Care Management (ECM), Community Health Worker (CHW), and Care Services (CS). This role applies certified coding expertise to ensure claims are reviewed, coded correctly, submitted in a timely manner, and followed through to resolution, including denial management. You will collaborate closely with Revenue Cycle stakeholders to support reimbursement accuracy, identify trends impacting claims performance, and contribute to continuous improvement as Zócalo Health scales value-based care for the communities we serve.

This position reports to the Revenue Cycle Management Team Lead.

Requirements

• High school diploma or equivalent required.
• Active Certified Professional Coder (CPC) or CPC-A certification required.
• 3 to 5 years of medical billing experience.
• Experience billing Medi-Cal managed care plans in California.
• Strong understanding of revenue cycle workflows, including claim review, coding accuracy, submission, denial management, appeals, and follow-up.
• Ability to maintain accuracy, confidentiality, and compliance with HIPAA requirements in a remote work environment.
• Strong written and verbal communication skills.

Nice To Haves

• Demonstrated experience coding and billing for Primary Care, Urgent Care, and Behavioral Health services.
• Direct experience billing Medi-Cal initiatives, including Enhanced Care Management (ECM), Community Health Worker (CHW), and Care Services (CS).
• Experience working with electronic health record and practice management systems, including Athena.
• Experience using revenue cycle management platforms and clearinghouse tools, such as Candid.
• Strong analytical skills with the ability to identify trends related to denials, underpayments, and payer behavior.

Responsibilities

• Provide accurate and compliant coding and billing for Primary Care, Urgent Care, and Behavioral Health services across Medi-Cal managed care plans and Medi-Cal initiatives, including ECM, CHW, and Care Services.
• Ensure claims are reviewed, coded correctly, submitted timely, and followed through to resolution in alignment with payer, regulatory, and internal requirements.
• Actively research and resolve claim denials and rejections to improve reimbursement outcomes and first-pass claim acceptance.
• Partner with Revenue Cycle team members to identify trends impacting claims performance and support continuous process improvement.
• Maintain accurate documentation and billing records within Athena and related billing systems to support audit readiness and compliance.
• Provide additional billing and revenue cycle support as needed to support team priorities and ensure continuity of Revenue Cycle operations.

Benefits

• Competitive salary: $28-$32 per hour (depending on experience)
• Equity compensation package
• Comprehensive benefits including medical, dental, and vision
• 401k
• Generous PTO policy (up to 15 days per year for FT employees)
• $1,000 home office stipend
• We provide the equipment needed for this role.
• Opportunity for rapid career progression with plenty of room for personal growth.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED