Medical Biller Coder - Denial Specialist

About Monovo

Monovo is building a better healthcare experience—one that is more proactive, more connected, and more centered on helping people stay healthy. We partner closely with clinical practices to support preventive and virtual care programs, and we believe strong operations are essential to delivering strong patient outcomes.

About the Role

Monovo is seeking a highly detail-oriented, dependable Medical Biller/Coder to support accurate coding, compliant claim submission, and end-to-end denial resolution. This role is responsible for reviewing documentation, assigning appropriate codes, submitting and correcting claims, and owning denied, rejected, and underpaid claims through resolution.

This is not a narrow, transactional billing role. The right candidate will treat denials as problems to investigate, correct, and help prevent in the future. Success in this role means improving reimbursement outcomes, strengthening revenue-cycle discipline, and reducing preventable denials over time through strong judgment, persistence, and follow-through.

Job Summary

The Medical Biller/Coder plays a key role in Monovo’s revenue cycle operations. This position is responsible for reviewing medical documentation, applying accurate billing and coding standards, supporting compliant claims submission, and managing denials through correction, appeal, and payer follow-up.

The ideal candidate combines technical billing and coding competence with strong organizational discipline and accountability. They are comfortable in structured, detail-heavy workflows, able to manage multiple claims and payer issues at once, and committed to closing loops fully rather than letting problems stall.

Key Responsibilities

Medical Coding and Documentation Review

• Review and analyze medical records to extract accurate coding and billing-related information.
• Apply appropriate ICD-10, CPT, and HCPCS codes based on documentation and payer requirements.
• Ensure documentation supports billed services and aligns with compliance standards.
• Identify coding discrepancies, missing documentation, and claim issues before or after submission.
• Maintain accurate, timely, and compliant records in relevant systems and the clinic EHR.
• Help reinforce process discipline and documentation quality across billing workflows.

Claim Submission and Billing Operations

• Prepare and submit claims accurately and in a timely manner.
• Support corrections, adjustments, write-offs, and resubmissions when needed.
• Verify claim readiness based on payer requirements and internal documentation standards.
• Track claim activity and maintain clear visibility into work status, next steps, and outstanding issues.
• Collaborate with internal teams to obtain missing information needed for billing resolution.

Denials Management and Resolution

• Own the review and resolution of denied, rejected, and underpaid claims.
• Investigate denial causes, including coding errors, documentation gaps, payer edits, authorization issues, eligibility issues, and reimbursement discrepancies.
• Correct and resubmit claims as appropriate.
• Prepare and submit appeals with supporting documentation and strong rationale when needed.
• Follow up with payers on unresolved denials, delayed reimbursements, and appeal outcomes.
• Maintain organized documentation of denial actions, appeal status, and resolution progress.
• Identify recurring denial patterns and escalate root-cause issues that should be addressed upstream.
• Help improve clean claim performance by spotting trends and recommending process changes over time.

Compliance and Quality

• Maintain compliance with HIPAA regulations and payer-specific billing and coding guidelines.
• Stay current on coding changes, payer requirements, and reimbursement rules.
• Help strengthen Monovo’s standards for accuracy, consistency, and evidence-based billing practices.
• Contribute to process improvement efforts that reduce friction, improve reimbursement outcomes, and support stronger operational quality.

Qualifications

Required

• 2+ years of medical coding experience
• Strong working knowledge of CPT, ICD-10, and HCPCS
• Experience with claim submission, denial resolution, appeals, and payer follow-up
• Familiarity with reimbursement processes and medical documentation standards
• Experience in a healthcare, clinic, physician-office, or outpatient setting
• Strong attention to detail, organization, and written communication
• Proficiency with EHR systems, billing platforms, and Microsoft Office Suite
• Certification such as CPC, CCS, or CBCS
• Experience using Athenahealth or similar EHR/billing platforms
• Experience managing denied, rejected, or underpaid claims in an outpatient environment
• Experience preparing appeals and supporting documentation packages
• Familiarity with Medicare, commercial payer rules, and payer-specific denial patterns
• Experience in preventive care, chronic care, or remote-care billing workflows

The Type of Person Who Will Thrive in This Role

• Takes ownership of claims, denials, corrections, and follow-up without needing to be chased.
• Is highly organized and can keep multiple issues moving without losing track of detail.
• Is persistent and steady when dealing with repetitive payer follow-up and reimbursement friction.
• Communicates clearly with internal stakeholders and payer representatives.
• Investigates problems thoroughly instead of working transactionally.
• Notices patterns, thinks in root causes, and cares about preventing repeat issues.
• Values accuracy, discipline, and follow-through just as much as speed.

Candidate Background Most Likely to Succeed

• Medical biller/coder in an outpatient clinic, physician office, or specialty practice.
• Billing and coding specialist with direct experience managing denied, rejected, or underpaid claims.
• Revenue cycle team member with strong exposure to denials, appeals, corrections, and payer follow-up.
• Medical coder who has worked closely with billing operations rather than coding in isolation.

To Be Successful at Monovo, You

• Take initiative and move work forward without waiting to be told every next step.
• Follow through with consistency, care, and accountability.
• Stay resilient in a fast-moving healthcare environment.
• Communicate clearly, professionally, and with maturity.
• Are teachable, open to feedback, and eager to learn evolving systems and payer requirements.
• Care deeply about quality and getting things right.
• Are mission-driven and motivated by improving outcomes through strong operational execution.

Why This Opportunity Is Different

• Be part of a healthcare company focused on preventive and connected care.
• Play a meaningful role in improving reimbursement quality and operational discipline.
• Help shape stronger billing and denial-management workflows as Monovo grows.
• Build specialized experience at the intersection of billing, coding, payer strategy, and process improvement.
• Do work that is purposeful, high-accountability, and important to the strength of the business.

Compensation

• Competitive compensation based on experience and qualifications.
• Final pay determined by skill alignment and relevant experience.

Job Types: Full-time, Part-time

Pay: $20.00 - $34.00 per hour

Expected hours: 25 – 40 per week

Benefits:

• Health insurance
• Paid time off

Work Location: Hybrid remote in Alpine, UT 84004