Remote Medical Billing & Coding Specialist (ICD-10/CPT)

GAMMA SURGERY CENTER LLC

Pittsburgh (Allegheny County)

Hybrid

USD 42,000 - 66,000

Full time

3 days ago
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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

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.

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