Billing and Coding Associate

The Cadence Solutions team seeks a Medical Billing and Coding Associate who brings both billing experience and coding expertise to drive our claims processing operations. You’ll play a crucial role in ensuring accurate and timely reimbursement while also serving as the in-house coding authority. You’ll be hands-on with systems, workflows, and problem-solving. This role is ideal for someone who is a self-starter, thrives on ownership, and enjoys building efficient workflows in an agile, technology enabled setting.

WHAT YOU'LL DO:

• Own day-to-day claims processing: submit claims, track denials, post payments, and manage re-submissions.
• Serve as internal coding expert: provide guidance to the clinical and operations teams on correct coding practices. Offering real-time guidance and training as needed.
• Identify and resolve issues: proactively troubleshoot claim rejections, denials, and underpayments to improve financial performance.
• Maintain compliance: Stay current with CMS and payer telehealth billing policies and ensure adherence to billing and coding rules.
• Contribute to process development: Help refine and implement scalable RCM workflows, working closely with product and clinical operations teams to improve documentation and billing accuracy.
• Technology Use: Leverage EHR, billing software, and clearinghouses to efficiently manage daily claims operations.
• Work cross-functionally: collaborate with clinical operations, finance, and product teams to improve workflows, quality, and automation.
• Internal Reviews: Support internal billing audits and reviews by preparing coding documentation, identifying compliance risks, and participating in remediation or training efforts.

WHAT YOU’LL NEED:

• 2+ years of hands-on medical billing and coding experience, in a primary care or outpatient setting
• Certified Professional Coder
• Proficiency with billing software, clearinghouses, and EHR systems.
• Strong organizational skills and attention to detail.
• Passion for the patient/customer experience and systematically improving healthcare with digital innovation.
• Independent thinker/operator (comfortable working in a less structured environment).
• Prior experience working with virtual care or telemedicine organizations strongly preferred.
• Athenahealth experience preferred.
• Knowledge of payer-specific guidelines for telehealth services across Medicare, Medicaid, and commercial insurers.
• Claims lifecycle proficiency
• Coding expertise and accuracy
• Experience working in a startup or small team environment is preferred.