Medical Billing & Coding Specialist

Evolving Solution Services; Rocky Hill (CT); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health Insurance

401(k) Retirement Plan

Paid Time Off (PTO)

Job summary

Orthopedic Surgical Partners is seeking a detail-oriented Medical Billing & Coding Specialist for a full-time, in-house role in Rocky Hill, CT. The candidate should have at least 2 years of medical billing experience and CPC certification, with at least 1 year of orthopedic billing experience.

Responsibilities include coding, claims management, insurance follow-up, A/R, and self-pay collections, using CPT and HCPCS coding.

Qualifications

• Minimum 2 years of medical billing experience including charge posting, payment posting, collections, and A/R.
• Certified Professional Coder (CPC) certification preferred.
• High school diploma required; bachelor's degree preferred.

Responsibilities

• Code and/or review diagnoses, co-morbidities, complications, and diagnostic procedures.
• Apply CPT, HCPCS, and other applicable coding systems.
• Review medical records for accurate and compliant coding per CMS guidelines.
• Stay current with coding, compliance, and reimbursement requirements.
• Identify coding and compliance issues and provide guidance to providers.
• Implement new coding guidelines and improve coding accuracy and reimbursement.
• Manage insurance A/R and outstanding claims follow-up.
• Post insurance and self-pay payments and assist with self-pay collections.

Skills

Medical billing

Medical coding

CPC knowledge

CMS guidelines

Education

High school diploma

Bachelor's degree preferred

Tools

CPT

HCPCS

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Medical Billing & Coding Specialist

Full Time Billing Rocky Hill, Rocky Hill, CT, US

8 days ago Requisition ID: 1095

Position Title: Medical Biller & Coding Specialist
Location: Rocky Hill, CT
Type: Full-time, In-house

About Us

Orthopedic Surgical Partners is a premier orthopedic healthcare group committed to providing exceptional, patient-centered care. We strive for excellence in quality, efficiency, and patient outcomes and are seeking a detail-oriented and experienced Medical Billing & Coding Specialist to join our team.

Job Description

This is a full-time position requiring a minimum of 2 years of medical billing experience, including charge posting, payment posting, collections, and A/R. Candidates must hold a Certified Professional Coder (CPC) certification and have at least 1 year of orthopedic medical billing experience.

The position will support our busy orthopedic practice and will be responsible for coding, claims management, insurance follow-up, A/R, and self-pay collections.

Responsibilities

• Code and/or review diagnoses, co-morbidities, complications, and diagnostic procedures.
• Apply current CPT, HCPCS, and other applicable coding systems.
• Review medical records for accurate and compliant coding in accordance with CMS guidelines and current reimbursement policies.
• Stay current with coding, compliance, and reimbursement requirements.
• Identify coding and compliance issues and provide accurate coding guidance to providers.
• Implement new coding guidelines and recommend strategies to improve coding accuracy and reimbursement.
• Manage and follow up on insurance A/R and outstanding claims.
• Post insurance and self-pay payments.
• Assist with self-pay collections and account follow-up.
• Perform other duties as assigned.

Education:

• Certified Professional Coder (CPC) certification preferred.
• High school diploma required; bachelor's degree preferred.
• Health Insurance (Medical, Dental, and Vision coverage)
• 401(k) Retirement Plan
• Paid Time Off (PTO)