Medical Biller & Coder

Medical Biller & Coder

Department: Billing

Employment Type: Full Time

Location: 8880 W Sunset Rd, Suite 320, Las Vegas NV 89148

Reporting To: Sr Director - Revenue Cycle Management

Compensation: $28.00 - $36.00 / hour

Astrana Health is seeking a highly organized and detail-oriented Medical Biller & Coder to support accurate, compliant, and efficient revenue cycle operations across multiple payer types, including Medicare, Medicare Advantage, Medicaid Managed Care, and Commercial plans. This role is integral to ensuring timely claim submission, documentation accuracy, risk adjustment integrity, and strong collaboration with clinical and operational teams.

This position requires a Las Vegas-based professional who is willing to work onsite during training and periodically thereafter to support provider education, audit feedback, and operational needs. Hybrid or remote work eligibility will be considered after successful completion of training and consistent achievement of defined productivity and quality benchmarks.

Our Values

• Putting Patients First
• Operating with Integrity & Excellence
• Being Innovative
• Working as One Team

• Review provider documentation to ensure accurate and compliant assignment of ICD-10-CM, CPT, and HCPCS codes.
• Conduct prospective and retrospective medical record reviews, including Risk Adjustment/HCC validation when applicable.
• Identify documentation gaps and communicate queries to providers to resolve ambiguous or unsupported coding.
• Prepare, review, and submit clean medical claims for primary and secondary payers.
• Verify patient insurance eligibility and benefits as needed.
• Post payments and adjustments accurately and reconcile billing discrepancies.
• Monitor and follow up on rejected, denied, or unpaid claims in accordance with payer guidelines.
• Support internal and external audits, data clean-up initiatives, and corrective action plans.
• Provide coding, billing, and documentation education to providers individually or in group settings.
• Collaborate with clinical, quality, and revenue cycle teams to support compliance and performance goals.
• Ensure compliance with HIPAA, CMS regulations, and internal billing and coding policies.

• High school diploma or GED required;
  Associate’s degree or higher preferred.
• Minimum of two (2) years of medical billing and/or coding experience.
• Strong working knowledge of CPT, ICD-10-CM, HCPCS, and modifier usage.
• Experience with Medicare Advantage, Medicaid Managed Care, and Commercial payers.
• Proficiency with EHR and billing systems (e.g., eClinical
  
  Works).
• Strong attention to detail, organization, and follow-through.

• CPC, CCS, or CCS-P (AAPC or AHIMA) required.
• CPB or CMRS preferred.
• CRC (Certified Risk Adjustment Coder) preferred.

• This position requires onsite work during the introductory training period at 8880 W Sunset Rd, Suite 320, Las Vegas NV 89148. Following training, the role may transition to a hybrid or remote structure based on performance. The employee must reside in the Las Vegas area and be willing to report onsite to offices or clinics as needed for provider training, audit feedback, and operational support.
• The total compensation range for this role is $28–$36/hour. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.

Astrana Health is proud to be an Equal Employment Opportunity and Aff… We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need.

If you require assistance in applying for open positions due to a disability, please email us at humanre to request an accommodation.

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.