Billing and Coding (Surgical)

Sportsmedsa; San Antonio (TX); On-site; USD 52,000 - 68,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Short/Long disability

401K

Job summary

Sportsmedsa in San Antonio, TX seeks a highly motivated Certified Medical Biller and Coder (Surgical) to join our orthopedic team. You will code using CPT, HCPCS and ICD-10-CM, audit charts, and educate clinical staff on coding compliance.

Responsibilities include billing data entry, claim investigation, and maintaining HIPAA-compliant processes while collaborating with providers across locations. Travel between sites may be required.

Qualifications

• Requires High School diploma or GED.
• Certified Professional Coder (CPC) preferred.
• 1+ year experience as medical biller/coder, surgical/orthopedics.
• Experience with CPT, HCPCS, ICD-10-CM codes and HIPAA compliance.

Responsibilities

• Extracts patient data and codes accurately; liaises with providers.
• Assigns CPT/HCPCS/ICD-10-CM codes and audits charts.
• Enter data in practice management system; verify insurance and claims.
• Assist with billing tasks, patient queries, and compliance activities.

Skills

Leadership

Communication

Planning

Multi-tasking

Education

High School Diploma or GED

CPC preferred

EMR experience

Tools

EMR systems

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).

DUTIES INCLUDE, BUT ARE NOT LIMITED TO:

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