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Billing & Coding Specialist

4 months ago

Atlanta, United States Ortho Sport and Spine Physicians Full time
Job DescriptionJob DescriptionSUMMARY:
We are seeking a qualified and dedicated Billing and Coding Specialist to join our Central Billing Office. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment. As our Biller and Coder, your daily duties will include entering and coding patient services and charges into our EMR system and generating invoices to mail out to patients. The ideal candidate must also be able to demonstrate excellent written and verbal communication skills, as communicating with clients and various insurance agents or patients will form a large part of the job.

DUTIES:
  • Remain HIPAA and OSHA compliant.
  • Translate patient information and alphanumeric medical code entries.
  • Electronic “clean” claims submissions to Insurance Carriers.
  • Collect, post, and manage patient account payments.
  • Sort and file paperwork.
  • Analyzing and correcting coding errors.
  • Ensure healthcare facilities are reimbursed for all procedures.
  • Follow Up on accepted or denied claims.
  • Review denied claims for denial reasons and provide resolution.
  • Investigate insurance fraud and report if found.
  • Collect information regarding patient treatments, diagnosis, and related procedures to ensure proper coding.

Qualifications:
  • A minimum of 2 years’ experience as a Medical Biller or similar role.
  • Knowledge of unfair debt collection practices and insurance guidelines.
  • Understanding of primary code classifications: ICD-10 CM, ICD-10-PCS, CPT and HCPCS
  • Computer proficiency and medical billing software
  • Must have the ability to multitask and manage time effectively.
  • Excellent written and verbal communication skills.
  • Outstanding problem-solving and organizational abilities.
  • Productivity Driven.

EDUCATION AND EXPERIENCE:
  • High School, Associate Degree or 1-3 years of Billing and Coding experience
  • Professional Certification preferred

Ortho Sport and Spine Physicians is an Equal Opportunity Employer and does not discriminate in its employment practices on the basis of race, religion, sex, color, national origin, age, disability, citizenship, genetic information, veteran status, military service, or any other characteristic protected by federal law or Georgia law.