Medical Billing and Coding Specialist-Epic

We are seeking an experienced Medical Billing and Coding Specialist with substancial hands-on experience using EPIC to support accurate billing, timely reimbursement and efficient revenue cycle operations. Direct experience with El Camino Health's EPIC environment is strongly preferred. The ideal candidate can independently manage billing workflows, resolve claim issues, and become productive quickly with limited system training. This is an immediate opening, and qualified candidates will receive priority consideration. Essential and Key Responsibilities Review patient accounts, encounter documentation, charges, and insurance information for billing accuracy and completeness. Prepare, review, correct, and submit claims through EPIC. Review diagnosis and procedure codes, modifiers, and supporting documentation; resolve discrepancies with providers or appropriate staff before submission. Manage assigned EPIC workqueues, including charge review, claim edits, billing holds, and follow-up tasks. Research and resolve rejected, denied, unpaid, and underpaid claims. Submit corrected claims and appeals with appropriate supporting documentation. Follow up with insurance carriers and other responsible parties to resolve outstanding balances. Review payment postings, adjustments, and explanations of benefits to identify reimbursement discrepancies. Maintain clear, accurate documentation of account activity and follow-up actions. Monitor timely filing and appeal deadlines and prioritize work accordingly. Communicate with providers, clinical staff, and administrative teams to obtain information needed for accurate billing. Protect confidential patient information and follow organizational privacy, security, and billing procedures. Identify recurring billing issues and recommend workflow improvements.

Required Qualifications

At least three years of recent medical billing experience, including substantial hands-on use of EPIC. Demonstrated ability to independently manage claims submission, denials, insurance follow-up, and accounts receivable. Working knowledge of ICD-10-CM, CPT, HCPCS, modifiers, and medical terminology. Understanding of commercial insurance, Medicare, and Medicaid/Medi-Cal billing processes. Ability to interpret payer responses, identify billing errors, and determine appropriate corrective action. Strong attention to detail, organization, and follow-through. Effective written and verbal communication skills. Ability to manage competing priorities and meet deadlines with minimal supervision. Education Requirements High school diploma or equivalent.

Preferred Qualifications

Direct experience using El Camino Health’s EPIC environment. Experience with EPIC professional billing workflows and related workqueues. Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist–Physician-based (CCS-P), or comparable credential. Experience supporting physician practices and specialty medical billing. Physical Requirements This position involves extended computer use, reviewing electronic records, and communicating by telephone and electronic messaging. Ability to sit and stand associated with a normal office environment. Manual dexterity needed for frequent keying and typing Job Type: Full-time Pay: $22.00 - $25.00 per hour Benefits 401(k) Dental insurance Flexible schedule Flexible spending account Health insurance Health savings account Life insurance Paid time off Vision insurance Location: California (Required) Work Location: Remote