Surgical Coding Expert

3 weeks ago

Toms River, New Jersey, United States Ocean Plastic Surgery PA Full time
Job Overview

Ocean Plastic Surgery PA is a leading surgical practice specializing in cosmetic and reconstructive plastic surgery of the face and body.

About the Role

  • This is a full-time position responsible for managing the billing and coding functions with accuracy and efficiency.

Main Responsibilities

  • Billing and Coding:
    • Accurately code and bill all surgical procedures and related services using ICD-10, CPT, and HCPCS codes.
    • Verify the completeness and accuracy of patient information and insurance details before processing claims.
  • Claim Management:
    • Submit insurance claims electronically or manually, as required, and ensure timely follow-up on unpaid or denied claims.
    • Monitor claim status and resolve any discrepancies or issues with insurance companies.
  • Patient Interaction:
    • Communicate with patients regarding billing inquiries, payment plans, and account balances.
    • Address and resolve any billing disputes or questions from patients in a professional manner.
  • Insurance Verification:
    • Verify patient insurance eligibility and benefits prior to surgery and ensure that pre-authorizations are obtained when necessary.
  • Record Keeping:
    • Maintain accurate and up-to-date patient billing records and documentation.
    • Ensure compliance with all federal, state, and local regulations related to medical billing and coding.
  • Reporting:
    • Generate and review billing reports to identify trends, potential issues, and opportunities for process improvement.

Requirements

  • A high school diploma or equivalent; an Associate's degree in medical billing and coding or a related field is preferred.
  • Certification in Medical Billing and Coding (e.g., CPC, CBCS) is preferred.
  • Proven experience in medical billing and coding, preferably in a surgical or clinical setting.
  • Strong knowledge of medical terminology, coding procedures, and insurance protocols.
  • Proficiency in medical billing software and electronic health record (EHR) systems.
  • Excellent attention to detail, organizational skills, and the ability to manage multiple tasks simultaneously.
  • Strong communication skills and a professional demeanor.

Estimated Salary: $70,000 - $90,000 per year

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