Orthopedic 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

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.