Job Details

Medical Billing & Coding Specialist

Position Overview
Seeking a detail-oriented professional to support accurate medical billing, coding, and revenue cycle processes within a fast-paced orthopedic and sports medicine practice. This role ensures timely claim submission, compliance, and optimized reimbursement.

Key Responsibilities

• Assign accurate ICD-10, CPT, and HCPCS codes for orthopedic and sports medicine services
• Review clinical documentation to ensure coding accuracy and compliance
• Submit electronic and paper claims to insurance carriers in a timely manner
• Monitor claim status, identify denials, and manage appeals and resubmissions
• Post payments, adjustments, and reconcile accounts receivable
• Communicate with providers regarding documentation improvements and coding updates
• Verify patient insurance eligibility and benefits as needed
• Maintain up-to-date knowledge of payer policies and coding regulations
• Ensure HIPAA compliance and confidentiality of patient information

Qualifications

• 2+ years of medical billing and coding experience (orthopedics preferred)
• Certified Professional Coder (CPC), CCS, or equivalent certification preferred
• Strong knowledge of ICD-10, CPT, HCPCS, and insurance guidelines
• Experience with EHR and billing software systems
• High attention to detail and accuracy
• Strong problem-solving and analytical skills
• Effective communication and teamwork abilities

Work Environment & Schedule

• Full-time, Monday–Friday
• Collaborative clinical and administrative team setting

Compensation & Benefits

• Competitive hourly pay or salary (based on experience)
• Health, dental, and vision insurance options
• Paid time off and holidays
• Opportunities for professional development and certification support

Ideal Candidate

• Organized and deadline-driven
• Proactive in resolving billing issues
• Comfortable working in a high-volume, specialty practice
• Committed to accuracy, compliance, and patient-centered service