Orthopedic Billing Specialist: Reimbursements & Denials

Paycom - ATS; Eggertsville (NY); On-site; USD 52,000 - 76,000; Full time

Job summary

Excelsior Orthopaedics and Buffalo Surgery Center in New York is seeking a Billing Specialist to manage the full lifecycle of medical claims, from charge entry to payment posting and denial management, ensuring accurate reimbursement for orthopedic services.

The role requires EMR experience (Medent or Epic), CPT/ICD-10/HCPCS coding knowledge, strong analytical and communication skills, and the ability to work independently in a fast-paced environment while maintaining HIPAA compliance.

Qualifications

• High school diploma or equivalent required; associate degree or certification in medical billing/coding preferred.
• Minimum 2 years of healthcare billing experience, orthopedic or surgical specialties preferred.
• Proficiency in CPT, ICD-10, and HCPCS coding for musculoskeletal and surgical services preferred.

Responsibilities

• Manage full lifecycle of medical claims from charge entry to submission and payment posting.
• Perform denial management, appeal preparation, and patient billing follow-up.
• Track claim status, investigate rejections, and resolve denials promptly.
• Maintain HIPAA compliance and protect patient information.
• Communicate with payers and patients via phone and email; support AR activity as directed by Billing Manager.

Skills

CPT coding

ICD-10 coding

HCPCS coding

EMR systems

Medent

Epic

Microsoft Excel

Microsoft Word

Microsoft Outlook

Microsoft Teams

Analytical skills

Communication skills

Education

High school diploma or equivalent

Medical billing/coding certification (CMB, CMRS)

Tools

Medent

Epic

Job description

Excelsior Orthopaedics and Buffalo Surgery Center in New York is seeking a Billing Specialist to manage the full lifecycle of medical claims, from charge entry to payment posting and denial management, ensuring accurate reimbursement for orthopedic services.

The role requires EMR experience (Medent or Epic), CPT/ICD-10/HCPCS coding knowledge, strong analytical and communication skills, and the ability to work independently in a fast-paced environment while maintaining HIPAA compliance.