Medical Billing and Coding Analyst 1

DISCLOSURES

The specific statements shown in each section of this scope of work are not intended to be all-inclusive. They represent typical elements and criteria considered necessary to perform the contracted services successfully. The scope of responsibilities/tasks may be modified and/or expanded over time based on client needs and contractual requirements. The Company will inform the contractor when material changes are made to this scope of work.

ABOUT FREEDOM HEALTH SYSTEMS, LLC

Freedom Health Systems, LLC is a mission-driven healthcare advisory and management consulting firm that partners with behavioral health and human services organizations to improve access, equity, and operational excellence. We specialize in guiding providers through program development, accreditation, compliance, and clinical best practices—empowering them to deliver high-quality, person-centered care to their communities.

While we do not provide direct healthcare services, Freedom Health Systems plays a vital role behind the scenes by strengthening organizational infrastructure, supporting service expansion, and helping our partners lead with innovation and integrity. Our expertise spans a wide range of operational services, including revenue cycle management, prior authorization, virtual front office support, medical billing and coding, human resources, and compliance consulting.

At Freedom Health Systems, we are deeply committed to breaking down barriers in the behavioral health space, with a particular focus on serving marginalized and underserved populations. Our team fosters a collaborative, forward-thinking work environment where every contractor and team member contributes to advancing impactful, community-based care.

Medical Billing & Coding Analyst 1 (Team Lead – Team A)

India (Remote)This is an India-based independent contractor engagement;

NOT a U.S.-based position, and compensation is paid in Indian Rupees (INR), not U.S. dollars.

COMPANY WEBSITE: https://freedomhs.org

COMPANY PHONE NUMBER: 667-239-9572

HUMAN RESOURCES DEPARTMENT PHONE NUMBER: 667-239-9572 EXT 10

HUMAN RESOURCES DEPARTMENT EMAIL ADDRESS: [email protected]

POSITION TITLE: Medical Billing & Coding Analyst (Team Lead – Team A)

ALTERNATE TITLE(S): Lead Medical Billing & Coding Analyst, Revenue Cycle Team Lead (Contractor), Billing & Coding Oversight Lead

COMPANY: Freedom Health Systems, Inc. (in support of all customer companies under contract)

DIVISION:Accounting & Finance

DEPARTMENT: Accounts Receivables

UNIT: Medical Billing & Coding (Revenue Cycle Management Services)

BENEFITS PACKAGE: Ineligible / Not Applicable (Independent Contractor)

WORK SCHEDULE: Monday – Friday, 8:00 AM EST – 5:00 PM EST
(or as otherwise agreed in writing, aligned to U.S. Eastern Time business hours)

ACCOUNTABLE TO: Accounts Receivables Department Manager

ACCOUNTABLE FOR:

End-to-end revenue cycle billing integrity for assigned outpatient mental health center client(s), including:

Ensuring all required documentation is entered and complete

Ensuring all billable services are captured, coded, billed, and submitted

Ensuring billed services are adjudicated and paid accurately

Providing functional oversight of Team A billing resources (Medical Biller & Coder 1 and Medical Biller & Coder 2)

Coordinating with Prior Authorization and client operational leadership to reduce revenue leakage and denials

CLASSIFICATION: W8BEN (Independent Contractor)

COMPENSATION RANGE: ₹500 – ₹625 INR per hour (this is not USD)
Equivalent to approximately USD $6.00–$7.50 per hour, based on experience and credentials.

ANTICIPATED TRAVEL: None

SCOPE OF ASSIGNMENT

This scope of work applies to Team A, supporting one or more outpatient mental health center clients. The Team Lead is responsible for ensuring services are properly documented, authorized (when required), coded, billed, followed through adjudication, and reconciled through payment, as part of revenue cycle management services.

SUPERVISORY SCOPE (FUNCTIONAL / CONTRACTUAL):

Within the scope of this engagement, the Team Lead will provide day-to-day functional oversight, workflow coordination, coaching, and quality review for:

Medical Biller & Coder 1

Medical Biller & Coder 2

This functional oversight is limited to contracted service execution and does not include employment/HR authority.

SUMMARY OF POSITION RESPONSIBILITIES

The Medical Billing & Coding Analyst (Team Lead – Team A) provides advanced billing, coding, and revenue cycle oversight services for outpatient mental health center clients. The Team Lead ensures that documentation supports services rendered, all billable services are captured and submitted, and claims are accurately adjudicated and paid.

This role performs continuous analysis of billing and payment activity, identifies gaps (missing documents, missed charges, denials, underpayments, no-pay claims), and coordinates timely resolution. The Team Lead collaborates with the Prior Authorization Unit, Accounts Receivables leadership, and operational management of client companies to ensure alignment across authorization, documentation, billing, and reimbursement.

SCHEDULED DUTIES AND RESPONSIBILITIES

Perform and oversee billing and coding in compliance with CPT, ICD-10-CM, HCPCS, and payer-specific billing rules

Review documentation to confirm medical necessity support and correct code assignment prior to claim submission

Ensure all required clinical and administrative documentation is entered into the EHR prior to billing (e.g., signed notes, treatment plans, required forms, demographics/insurance data)

Ensure all billable services are captured and billed, including identification and correction of missed charges

Oversee claim submission processes to ensure timely, accurate, and compliant claim filing

Analyze biller work output and billing queues for completeness, accuracy, and timeliness

Monitor claim status, rejections, denials, and payer correspondence; coordinate corrections and resubmissions

Reconcile payments to billed services and contracted rates; identify and escalate underpayments, no-pay claims, and payment discrepancies

Lead Team A workflow: assign daily work, manage throughput, and ensure consistent execution across Medical Biller & Coder 1 and Medical Biller & Coder 2

Conduct routine quality assurance reviews of team output; document findings and provide corrective coaching

Track and report revenue cycle risks (documentation gaps, authorization gaps, denial trends, aging A/R) to the Accounts Receivables Department Manager

Collaborate with the Prior Authorization Unit to ensure services billed are authorized where required and align with approved service periods and units

Collaborate with operational management of the client companies to resolve documentation delays, clinical workflow gaps, scheduling/billing mismatches, and process barriers impacting reimbursement

Maintain accurate internal trackers, reconciliation logs, and audit-ready records as required by the Company

UNSCHEDULED DUTIES AND RESPONSIBILITIES

Assist the Accounts Receivables Department Manager with escalations, special projects, and revenue cycle improvement initiatives as requested

Support internal and external audits (payer audits, compliance reviews) by producing billing support, reconciliation documentation, and QA evidence

Participate in cross-training activities and cover essential functions during team absences or high-volume periods

Contribute to performance improvement plans related to denial reduction, A/R reduction, clean claim rate improvement, and documentation completeness

Maintain strict confidentiality of PHI and financial information and comply with all security requirements

Maintain awareness of relevant regulations, payer policy changes, and company procedures impacting billing operations

KEY PERFORMANCE INDICATORS (KPIs)

Contract effectiveness and service quality will be measured using, but not limited to, the following KPIs:

Billing Accuracy Rate (target ≥ 98%)

Charge Capture Completeness (all documented services billed; missed-charge rate minimized)

Documentation Completeness Rate (required billing documents present before submission)

Clean Claim Rate (low rejection rate at clearinghouse/payer)

Denial Rate and Denial Resolution Timeliness

Days in Accounts Receivable (A/R) and aging distribution (e.g., % > 60/90 days)

Payment Reconciliation Accuracy (payments match billed services and expected rates)

Underpayment Identification & Recovery Rate (where applicable)

Authorization-to-Billing Alignment (when prior auth required)

Team A Throughput & Turnaround Time (claims submission and follow-up SLAs)

Audit Findings / Error Reduction Trend (month-over-month improvement)

Client Operational Satisfaction (responsiveness, clarity, issue resolution quality)

TECHNOLOGY, DATA SECURITY & MONITORING REQUIREMENTS

All work must be performed exclusively on the assigned Amazon Workstation (AWS virtual workstation) authorized by Freedom Health Systems.

Use of personal devices for performing contracted services, local storage, screenshots, external email forwarding, or external systems is strictly prohibited unless explicitly authorized in writing.

The Amazon Workstation environment will be monitored by the Company for security, compliance, productivity, and quality assurance purposes.

The contractor acknowledges that system activity logs, access logs, and usage metrics may be reviewed to ensure compliance with HIPAA, client requirements, and Company policies.

Failure to comply with workstation, security, or monitoring requirements may result in immediate termination of the contract.

PHYSICAL DEMANDS

Prolonged periods sitting at a desk and working on a computer

Frequent meetings via video or phone

WORKING CONDITIONS

Remote (India), performed via assigned Amazon Workstation

Fast-paced, deadline-driven revenue cycle environment requiring detailed accuracy and consistent follow-up

Regular collaboration across time zones with U.S.-based leadership and client operations teams

COMPETENCIES AND SKILLS

Strong knowledge of U.S. medical billing and coding standards (CPT, ICD-10-CM, HCPCS)

Strong understanding of end-to-end revenue cycle management, especially A/R follow-up and payment reconciliation

Behavioral health and outpatient mental health billing experience preferred

Ability to analyze billing workflows, identify revenue leakage, and implement corrective actions

Ability to oversee, coach, and quality-check biller output consistently (Team A)

Strong attention to detail and documentation discipline

Excellent written and verbal English communication

Proficiency in EHR systems, billing software, clearinghouses, and payer portals

Professional, audit-ready work practices and secure handling of PHI

LEVEL OF EDUCATION / TRAINING / QUALIFICATIONS

Bachelor’s degree or equivalent experience preferred

Minimum 3–5 years of U.S. medical billing and coding experience

Prior Team Lead / workflow oversight experience required

Outpatient mental health billing experience strongly preferred

Coding certifications (e.g., CPC, CCS) preferred

Ability to pass background and reference checks (as required by client/contract)