Senior Medical Biller & Coder

Anchor Health CT•Hamden, CT

9d•$75,000 - $85,000

About The Position

Anchor Health is Connecticut’s leading health center for the LGBTQ+ community. We deliver high-quality, evidence-based, gender-affirming, and trauma-informed medical care to a diverse patient population across the state. Our interdisciplinary model integrates primary care, HIV medicine, sexual health, behavioral health, pharmacy, and supportive services to advance health equity for LGBTQ+ people. The Role The Senior Medical Biller addresses complex billing issues and ensures claims meet payer standards and reimbursement requirements. This role works across clinical, operational, and billing teams to resolve claim issues and maintain billing accuracy across the revenue cycle.

Requirements

Active Certified Professional Coder (CPC) certification required.
Advanced working knowledge of ICD-10, CPT, and HCPCS coding frameworks within outpatient clinical settings.
Experience conducting coding reviews and documentation audits to ensure claims meet payer documentation standards.
Demonstrated experience resolving complex claim denials and payer appeals.
Strong familiarity with EHR billing systems and clearinghouse platforms such as Epic, Athenahealth, eClinicalWorks, NextGen, Waystar, Availity, or Change Healthcare.
Experience working within commercial and government payer systems, including Medicare and Medicaid billing requirements.

Responsibilities

Investigate complex claim denials and prepare payer appeals to recover reimbursement.
Review claims and documentation to ensure compliance with payer billing requirements.
Identify patterns in claim denials or billing errors and work with operational teams to correct root causes.
Support billing quality review processes to maintain consistent claim accuracy.
Audit Provider charts and notes to ensure coding accuracy.
Provide feedback to providers regarding documentation needed to support compliant coding.