Especialista en facturación/codificación médica

GAMMA SURGERY CENTER LLC; Pittsburgh (Allegheny County); Hybrid; USD 42,000 - 66,000; Full time

Benefits offered by this job

401(k)

Employee discounts

Health insurance

Paid time off

Job summary

Gamma Surgery Center LLC in Pittsburgh, PA is seeking a detail-oriented Medical Billing/Coding Specialist to join our healthcare team. You will play a vital role in the financial operations of a dynamic surgical facility where accuracy and efficiency matter.

Responsibilities include coding with ICD-10-CM, CPT, and HCPCS, submitting claims to insurers, reviewing denials, posting payments, and ensuring HIPAA compliance. Flexible work-from-home options are available.

Qualifications

• Experience in medical billing and coding in a surgical/outpatient setting.
• Familiar with Surgical Information Systems (SIS) computer system.
• Proficient in ICD-10-CM, CPT, and HCPCS coding.
• CPC or CCS certification preferred.

Responsibilities

• Accurately assign ICD-10, CPT, and HCPCS codes to procedures and diagnoses.
• Submit and follow up on medical claims to insurance carriers, Medicare, and Medicaid.
• Review and resolve claim denials, rejections, and underpayments in a timely manner.
• Post payments and adjustments to patient accounts and reconcile billing records.
• Verify patient insurance eligibility and obtain necessary pre-authorizations.
• Communicate with physicians, clinical staff, and payers to resolve billing discrepancies.
• Ensure compliance with HIPAA regulations and coding guidelines.

Skills

Medical billing

Coding proficiency

HIPAA compliance

Communication skills

Attention to detail

Education

CPC/CCS certification

Tools

SIS (Surgical Information Systems)

ICD-10-CM

CPT

HCPCS

Job description

Benefits:

• 401(k)


• Employee discounts


• Health insurance


• Paid time off

About the Role:

Gamma Surgery Center LLC in Pittsburgh, PA is looking for a detail-oriented Medical Billing/Coding Specialist to join our dedicated healthcare team. This is a great opportunity to play a vital role in the financial operations of a dynamic surgical facility where accuracy and efficiency truly matter.

Responsibilities:

• Accurately assign ICD-10, CPT, and HCPCS codes to surgical procedures and diagnoses


• Submit and follow up on medical claims to insurance carriers, Medicare, and Medicaid


• Review and resolve claim denials, rejections, and underpayments in a timely manner


• Post payments and adjustments to patient accounts and reconcile billing records


• Verify patient insurance eligibility and obtain necessary pre-authorizations


• Communicate with physicians, clinical staff, and payers to resolve billing discrepancies


• Ensure compliance with HIPAA regulations and coding guidelines

Requirements:

• Experience in medical billing and coding, preferably in a surgical or outpatient setting


• Familiar with Surgical Information Systems (SIS) computer system


• Proficiency with ICD-10-CM, CPT, and HCPCS coding systems


• CPC, CCS, or equivalent medical coding certification preferred


• Familiarity with insurance claim submission, EOBs, and denial management


• Knowledge of Medicare, Medicaid, and commercial payer billing requirements


• Strong attention to detail and ability to meet deadlines in a fast-paced environment


• Excellent communication and organizational skills

About Us:

Gamma Surgery Center LLC is a trusted surgical facility based in Pittsburgh, PA, committed to delivering high-quality patient care in a safe and efficient environment. Our team of skilled professionals takes pride in providing exceptional surgical services that patients and physicians rely on. We foster a collaborative and supportive workplace where every team member's contribution makes a meaningful difference.

Flexible work from home options available.