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Medical Coder and Biller

Orthopaedic Surgery and Sports MedicineNorwalk, CT, US

Overview Join our dynamic healthcare team as a Medical Coder and Biller, where your expertise will directly impact the accuracy and efficiency of medical billing processes. In this vital role, you will interpret medical records, assign appropriate codes, and ensure timely submission of claims to insurance providers. Your attention to detail and knowledge of coding systems will help optimize revenue cycle management while maintaining compliance with healthcare regulations. This position offers an engaging environment for motivated professionals eager to contribute to quality patient care through precise documentation and billing. Duties Review and analyze medical records, including physician notes, lab results, and diagnostic reports to accurately assign ICD-9, ICD-10, CPT (Current Procedural Terminology), and DRG (Diagnosis-Related Group) codes. Ensure proper coding for diagnoses, procedures, and services in accordance with federal and state regulations. Prepare and submit clean claims using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems, minimizing denials and delays. Follow up on unpaid or rejected claims through effective medical collection practices to secure timely reimbursements. Maintain comprehensive documentation of coding decisions, billing activities, and correspondence related to medical records. Collaborate with healthcare providers to clarify documentation discrepancies or incomplete records for accurate coding. Stay updated on evolving coding standards, insurance policies, and healthcare regulations to ensure ongoing compliance. Requirements Proven experience in medical coding and billing within a healthcare setting; familiarity with medical office workflows is highly desirable. Strong knowledge of ICD-9, ICD-10, CPT coding systems, as well as DRG classifications. Experience working with EMR/EHR systems (AthenaOne) for documentation and claim processing. Excellent understanding of medical terminology, anatomy, and clinical procedures. Ability to interpret complex medical records accurately and assign appropriate codes efficiently. Knowledge of medical billing processes, including claim submission, follow-up procedures, and collections. Familiarity with medical records management and compliance standards related to healthcare documentation. Join us in making a difference by ensuring the accuracy of medical billing processes! Your expertise will support efficient revenue cycle operations while upholding the highest standards of compliance and patient confidentiality. This role is perfect for motivated individuals passionate about healthcare administration who thrive in fast-paced environments dedicated to excellence. Job Types: Full-time, Part-time Pay: $23.00 - $27.00 per hour Expected hours: 25 – 40 per week Benefits: Dental insurance Health insurance Paid time off Vision insurance Work Location: In person

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View Medical Coder and Biller
O

Medical Coder and Biller

Orthopaedic Surgery and Sports MedicineNorwalk, CT, US

Overview Join our dynamic healthcare team as a Medical Coder and Biller, where your expertise will directly impact the accuracy and efficiency of medical billing processes. In this vital role, you will interpret medical records, assign appropriate codes, and ensure timely submission of claims to insurance providers. Your attention to detail and knowledge of coding systems will help optimize revenue cycle management while maintaining compliance with healthcare regulations. This position offers an engaging environment for motivated professionals eager to contribute to quality patient care through precise documentation and billing. Duties Review and analyze medical records, including physician notes, lab results, and diagnostic reports to accurately assign ICD-9, ICD-10, CPT (Current Procedural Terminology), and DRG (Diagnosis-Related Group) codes. Ensure proper coding for diagnoses, procedures, and services in accordance with federal and state regulations. Prepare and submit clean claims using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems, minimizing denials and delays. Follow up on unpaid or rejected claims through effective medical collection practices to secure timely reimbursements. Maintain comprehensive documentation of coding decisions, billing activities, and correspondence related to medical records. Collaborate with healthcare providers to clarify documentation discrepancies or incomplete records for accurate coding. Stay updated on evolving coding standards, insurance policies, and healthcare regulations to ensure ongoing compliance. Requirements Proven experience in medical coding and billing within a healthcare setting; familiarity with medical office workflows is highly desirable. Strong knowledge of ICD-9, ICD-10, CPT coding systems, as well as DRG classifications. Experience working with EMR/EHR systems (AthenaOne) for documentation and claim processing. Excellent understanding of medical terminology, anatomy, and clinical procedures. Ability to interpret complex medical records accurately and assign appropriate codes efficiently. Knowledge of medical billing processes, including claim submission, follow-up procedures, and collections. Familiarity with medical records management and compliance standards related to healthcare documentation. Join us in making a difference by ensuring the accuracy of medical billing processes! Your expertise will support efficient revenue cycle operations while upholding the highest standards of compliance and patient confidentiality. This role is perfect for motivated individuals passionate about healthcare administration who thrive in fast-paced environments dedicated to excellence. Job Types: Full-time, Part-time Pay: $23.00 - $27.00 per hour Expected hours: 25 – 40 per week Benefits: Dental insurance Health insurance Paid time off Vision insurance Work Location: In person

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View Medical Biller
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Medical Biller

Orthopaedic Institute of HendersonHenderson, NV, US

Location: Henderson, Nevada (On-site at Orthopaedic Institute of Henderson) Employment Type: Full-Time About Orthopaedic Institute of Henderson (OIH): For over 25 years, the Orthopaedic Institute of Henderson has provided exceptional orthopedic care to the Henderson and greater Las Vegas communities. Our board-certified surgeons specialize in orthopedic surgery, arthroscopy, sports medicine, joint replacements, and more. We are committed to high-quality, compassionate patient care and are seeking a detail-oriented Medical Biller to join our growing team. Job Summary: We are looking for an experienced Medical Biller to help manage the revenue cycle for our busy orthopedic practice. The ideal candidate will handle accurate claim submission, payment posting, denial management, and patient billing inquiries to ensure timely reimbursements from insurance carriers, including Medicare, Medicaid, commercial payers, and workers' compensation. Key Responsibilities: Prepare, review, and submit clean electronic and paper claims to insurance companies (primary focus on orthopedic procedures, E/M visits, injections, DME, and imaging services). Verify patient insurance eligibility, benefits, and authorization requirements prior to services. Post payments, adjustments, and denials accurately in the practice management system. Research and resolve claim denials, rejections, and underpayments; appeal denied claims as needed with supporting documentation. Follow up on outstanding accounts receivable (A/R) aging over 30/60/90 days. Handle patient billing inquiries, explain statements, set up payment plans, and process patient payments. Maintain compliance with HIPAA, CMS guidelines, and payer-specific billing rules. Reconcile payments and prepare reports on billing metrics for management. Collaborate with front office, clinical staff, and providers to resolve coding/billing issues. Qualifications: High school diploma or equivalent required; certification (e.g., CPB, CPC, CMRS, or equivalent) preferred. Minimum 2+ years of medical billing experience, preferably in orthopedics, surgery, or multi-specialty practices. Strong knowledge of CPT, ICD-10, HCPCS coding, and modifiers commonly used in orthopedics. Experience with electronic health record (EHR) and practice management systems (Mod Med) Familiarity with major payers including Medicare, Medicaid, Blue Cross, UnitedHealthcare, and workers' compensation. Excellent attention to detail, organizational skills, and ability to multitask in a fast-paced environment. Proficient in Microsoft Office (Excel, Word) and typing speed of 45+ WPM. Strong communication skills for interacting with patients, insurers, and team members. Preferred Skills: Certification as a Certified Professional Biller (CPB) or Certified Professional Coder (CPC). Experience with orthopedic-specific billing (e.g., joint replacements, arthroscopy, fracture care, DME). Knowledge of Nevada-specific payer requirements and regulations. What We Offer: Competitive pay and performance-based bonuses. Comprehensive benefits package (health, dental, vision, 401(k), paid time off). Supportive team environment in a well-established practice. Opportunities for professional growth and continuing education.

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Companies hiring for Medical Biller

Orthopaedic Surgery and Sports Medicine (2)Orthopaedic Institute of Henderson (1)

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