Hybrid Medical Coder & Workers Comp Billing Specialist

Protouch Staffing; Houston (TX); Hybrid; USD 37,000 - 41,000; Full time

Benefits offered by this job

401(k)

401(k) matching

Dental insurance

Flexible schedule

Health insurance

Paid time off

Parental leave

Retirement plan

Vision insurance

Job summary

Protouch Staffing in Houston, TX is seeking an Experienced Medical Coder & Billing Specialist to manage workers' compensation billing for orthopedic surgery, ASC, anesthesia, X-ray, clinic, and urgent care services.

The role requires independent work, ability to identify coding and billing errors, resolve denials, and ensure compliant submission of claims through the revenue cycle. Hands-on WC billing experience and CPT/ICD-10-CM knowledge are essential.

Qualifications

• Hands-on workers' compensation billing experience is mandatory.
• Experience with workers' compensation claims involving orthopedic injuries, surgery, imaging, or outpatient services.
• Strong ASC facility coding and billing experience.
• Experience coding and billing orthopedic procedures.
• Working knowledge of anesthesia, radiology, clinic and urgent care billing.
• Proficiency in CPT, ICD-10-CM, HCPCS, modifiers, and applicable coding guidelines.
• Knowledge of workers' compensation fee schedules, authorization requirements, and state rules.
• Experience with commercial insurance and Medicare billing as applicable.

Responsibilities

• Process and submit workers' compensation claims for work-related injuries and procedures.
• Verify claim information, employer and insurer details, authorization requirements, and adjuster information.
• Follow up with carriers and payers regarding claim status and reimbursements.
• Resolve denials, underpayments, and disputed claims.
• Code and bill ASC facility claims for orthopedic procedures and anesthesia.
• Review operative reports for CPT/ICD-10-CM and modifiers.
• Review billing for implants, supplies, and other services per payer rules.
• Denial management and revenue cycle tasks including appeals and corrected claims.
• Review anesthesia records and verify time, units, and modifiers.
• Code imaging services and understand 26/TC components.
• Handle clinic and urgent care billing, including E/M and minor procedures.

Skills

Workers' compensation billing

Orthopedic billing

ASC billing

Anesthesia billing

Radiology billing

Claims denial resolution

Education

CPC, CCS certification

Tools

Practice management systems

Clearinghouses

Electronic Health Records (EHR)

Job description

Protouch Staffing in Houston, TX is seeking an Experienced Medical Coder & Billing Specialist to manage workers' compensation billing for orthopedic surgery, ASC, anesthesia, X-ray, clinic, and urgent care services.

The role requires independent work, ability to identify coding and billing errors, resolve denials, and ensure compliant submission of claims through the revenue cycle. Hands-on WC billing experience and CPT/ICD-10-CM knowledge are essential.