About Us

Modena Health (“MH”) and Modena Allergy & Asthma ("MAA") are leading and rapidly growing medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona—and ambitious plans for national expansion. We are physician-led, hospitality-focused, and technology-enabled, committed to transforming allergy care while advancing clinical research and expanding access to cutting-edge medicine. Known for our high standard of excellence, we provide compassionate, patient-centered care for both pediatric and adult patients. Our model combines hospitality-driven service with innovative technology solutions that streamline operations, improve clinical outcomes, and enhance the experience for both patients and providers. At Modena, we aim to hire great people, treat them well, and help them find meaning and purpose in our mission. Our dedicated team values collaboration, positivity, and growth while striving to improve lives through expert diagnosis, treatment, and research. We are looking for high-energy, kind, and collaborative individuals eager to grow personally and professionally while making a meaningful impact in the lives of others. We are currently hiring a Medical Biller/Coder to join our growing billing team and support the increasing demand for our services. This role offers strong opportunities for personal, professional, and financial growth. Position Summary The Medical Biller/Coder is responsible for accurately reviewing, coding, and billing medical services for an Allergy & Asthma practice. This position ensures proper assignment of ICD-10-CM, CPT, and HCPCS codes, timely claim submission, and compliance with payer and regulatory requirements. The ideal candidate has experience in specialty physician coding and billing, strong attention to detail, and the ability to work independently in a remote environment. Essential Duties and Responsibilities Medical Coding - Review provider documentation for accuracy and completeness. - Assign appropriate ICD-10-CM, CPT, and HCPCS codes for office visits, procedures, diagnostic testing, and treatments. - Ensure coding compliance with payer guidelines, Medicare regulations, and industry standards. - Identify documentation deficiencies and communicate with providers for clarification. - Stay current with coding updates, payer requirements, and regulatory changes. Medical Billing - Prepare and submit clean claims electronically to insurance carriers. - Review and correct claim edits and rejections before submission. - Monitor claim status and ensure timely reimbursement. - Process insurance and patient payments accurately. - Review Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERA) postings. - Assist with claim corrections, rebilling, and appeals as needed. - Maintain accurate patient and billing records within the practice management system. Specialty-Specific Responsibilities - Code and bill allergy testing procedures, immunotherapy services, biologic injections, pulmonary function testing, and related specialty services. - Verify that coding accurately reflects services provided and supports medical necessity requirements. - Assist in identifying coding and reimbursement opportunities while maintaining compliance. Compliance & Quality - Ensure compliance with HIPAA, payer policies, and federal regulations. - Participate in internal audits and quality assurance reviews. - Maintain confidentiality of patient and practice information. - Support continuous process improvement initiatives within the revenue cycle department. Qualifications - High school diploma or equivalent required; Associate degree preferred. - Minimum 2 years of medical billing and coding experience, preferably in an Allergy & Asthma, Pul