Billing and Coding (Surgical)

Sports Medicine Associates of San Antonio - SMASA; San Antonio (TX); On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Health insurance

Life insurance

Paid time off

Vision insurance

Job summary

Sports Medicine Associates of San Antonio - SMASA is seeking a motivated Certified Medical Biller and Coder (Surgical) to join our orthopedic sports medicine team. You will handle medical coding (CPT/HCPCS/ICD-10-CM) and billing workflows, ensuring compliance and accurate revenue cycle management.

You will collaborate with providers and staff, conduct chart audits, and deliver education on coding and billing policies while maintaining HIPAA compliance across multiple locations.

Qualifications

• High school diploma or GED required.
• 1+ year experience as medical biller/coder in surgical/orthopedics; CPC preferred.
• Experience with EMR and electronic scheduling systems.
• CPC certification preferred and ortho experience are desirable.

Responsibilities

• Extracts and clarifies information from patient records for coding.
• Assigns CPT, HCPCS, ICD-10-CM codes.
• Performs chart audits and provides coding education to the clinical team.
• Enter accurate data in the practice management system and verify insurance and claims.
• Investigate claim denials and correct claims.
• Provide timely patient billing support and respond to questions.

Skills

Leadership

Communication

Planning

Organization

Multitasking

Teamwork

Education

High School diploma

CPC certification preferred

Tools

EMR system

Scheduling system

Practice management software

Job description

Orthopedic sports medicine physician practice looking for a highly motivated individual to join our team as a Certified Medical Biller and Coder (Surgical).

Medical Coder Responsibilities

• Extracts relevant information from patient records and acts as liaison with providers and other parties to clarify information
• Examines documents for missing information; corrects information as needed
• Assigns CPT, HCPCS, ICD-10-CM codes
• Performs patient chart audits and provides coding feedback and education to clinical team as needed
• Answers questions, advises, and trains providers and staff on medical coding
• Ensures compliance with medical coding policies and guidelines; understands the application of each code set
• Maintains current knowledge regarding coding and diagnostic procedures
• Works towards compliance in all aspects of coding, participates in compliance activities as requested, and conducts/participates in provider coding reviews and education, as requested

Medical Billing Responsibilities

• Maintains practice management system by entering accurate data, verifying and updating insurance, and claims information
• Key/collect, post and manage patient account payments
• Investigates rejected claims to see why denials were issued and correct claims.
• Completes Claims Center daily tasks including charge review and claims inspector; creates and maintains custom claim edits and works the client action worklist
• Reviews and provides RCM weekly and monthly reports including productivity and financial reports as directed and completes action steps as necessary
• Follows HIPAA guidelines when accessing and sharing patient information
• Maintains patient and business confidentiality
• Provides timely and professional customer service, verify discrepancies by and resolve patient billing issues, answer questions from patients, facility staff, and third-party vendors
• Supports additional coding, billing, and practice management projects as needed
• Regular attendance required
• Performs other related duties as assigned or requested.

The company reserves the right to add or change duties at any time.

Education

Education: High School diploma or GED required

Experience with electronic scheduling system and electronic medical records (EMR) - required.

Certified Professional Coder (CPC) - preferred

EXPERIENCE:

Experience: Minimum of 1+ year experience as a medical biller/coder, surgical, orthopedics. Must be Certified Professional Coder & have ortho experience.

ABILITIES:

Must demonstrate strong leadership and effective communication skills. Excellent planning, organization and managements skills. Ability to multi-task, works in a fast-paced work environment, and demonstrates team cooperation.

Job Type:

Full-time - Monday through Friday. Dependable transportation required. Travel between locations may be required.

Great benefits:

Medical, Dental, Vision, Short Term Disability, Long Term Disability, Life Insurance and 401K.

Job Type:

Full-time

Benefits

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Medical Specialty

• Medical-Surgical

Schedule

• 8 hour shift
• Day shift
• Monday to Friday
• Weekend availability

Work Location:

Multiple Locations

Job Posted by ApplicantPro