Excelsior Orthopaedics
Coding and Billing Specialist, Surgery Center
Excelsior Orthopaedics, Buffalo, New York, United States, 14266
**We offer flexibility with hybrid work options based on your preference.**
Job Summary
We are seeking a detail-oriented and experienced Medical Coder/Biller to join our Ambulatory Surgery Center (ASC) team. This role is responsible for accurately assigning CPT, ICD-10-CM, and HCPCS Level II codes for surgical and clinical procedures, ensuring accurate reimbursement, coding compliance, and efficient billing processes. The ideal candidate has strong knowledge of orthopedic coding, ASC-specific billing practices, and payer regulations.
Duties and Responsibilities
Demonstrate our core values of being patient centered, team focused, service driven, accountable, and innovative every day.
Accurately review and abstract information from operative and clinical documentation to assign appropriate diagnosis and procedure codes for surgical cases.
Ensure coding and billing practices comply with CMS guidelines, payer policies, and ASC-specific coding regulations.
Manage billing functions for surgical procedures, including claim creation, submission, and follow-up for payment resolution.
Communicate with providers and team members to clarify documentation and ensure code accuracy.
Monitor and respond to coding-related denials, rejections, and edits; assist with appeals and identify areas for process improvement.
Collaborate with the billing team and other departments to resolve discrepancies and optimize revenue cycle performance.
Participate in internal audits, meet coding accuracy benchmarks, and stay current with coding regulations, payer updates, and orthopedic-specific policies.
Answer incoming phone calls regarding billing and coding inquiries from patients, providers, team members, and external vendors, delivering clear, courteous, and professional assistance.
Evolve in your role when performing supplemental responsibilities as assigned.
Job Summary
We are seeking a detail-oriented and experienced Medical Coder/Biller to join our Ambulatory Surgery Center (ASC) team. This role is responsible for accurately assigning CPT, ICD-10-CM, and HCPCS Level II codes for surgical and clinical procedures, ensuring accurate reimbursement, coding compliance, and efficient billing processes. The ideal candidate has strong knowledge of orthopedic coding, ASC-specific billing practices, and payer regulations.
Duties and Responsibilities
Demonstrate our core values of being patient centered, team focused, service driven, accountable, and innovative every day.
Accurately review and abstract information from operative and clinical documentation to assign appropriate diagnosis and procedure codes for surgical cases.
Ensure coding and billing practices comply with CMS guidelines, payer policies, and ASC-specific coding regulations.
Manage billing functions for surgical procedures, including claim creation, submission, and follow-up for payment resolution.
Communicate with providers and team members to clarify documentation and ensure code accuracy.
Monitor and respond to coding-related denials, rejections, and edits; assist with appeals and identify areas for process improvement.
Collaborate with the billing team and other departments to resolve discrepancies and optimize revenue cycle performance.
Participate in internal audits, meet coding accuracy benchmarks, and stay current with coding regulations, payer updates, and orthopedic-specific policies.
Answer incoming phone calls regarding billing and coding inquiries from patients, providers, team members, and external vendors, delivering clear, courteous, and professional assistance.
Evolve in your role when performing supplemental responsibilities as assigned.