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Bay Surgical Specialists

Job Overview The Billing Specialist is responsible for accurate, timely, and compliant billing for a high-volume vascular clinic, including office visits, OBL procedures, and hospital-based cases. This role plays a critical part in optimizing revenue cycle performance, minimizing denials, and ensuring clean claims submission while maintaining compliance with payer and regulatory requirements.The ideal candidate has strong experience in vascular CPT/ICD-10 coding, modifier usage, and payer rules, with proactive, detail-oriented approach to revenue integrity.Key Responsibilities:Billing &amp; Coding&middot; Prepare, review, and submit professional and technical claims through Greenway Health&middot; Assign accurate CPT, ICD-10, and HCPCS codes with appropriate modifiers for:-Office-based clinic visits-OBL procedures (endovascular, dialysis access, atherectomy, angiography, stents, etc.)-Hospital-based inpatient and outpatient cases&middot; Review operative reports and clinical documentation to support billable services&middot; Validate charges against provider documentation prior to claim submissionClaims Management&middot; Submit clean claims in a timely manner and monitor claim status in Greenway&middot; Identify, research, and resolve claim denials, rejections, and underpayments&middot; Initiate appeals and provide supporting documentation when needed&middot; Track trends in denials and collaborative with leadership to implement corrective actionsAccounts Receivables (A/R)&middot; Follow up on unpaid or delayed claims to ensure timely reimbursement&middot; Post payments, adjustments, and contractual allowances accurately in Greenway&middot; Reconcile EOBs and ERA postings&middot; Escalate unresolved issues to payers or leadership as appropriateCompliance &amp; Accuracy&middot; Maintain compliance with CMS, Medicare, Medicaid, and commercial payer regulations&middot; Maintain and adhere to NCCI edits, LCDs, and payer-specific billing rules&middot; Support internal audits and external payer audits when needed&middot; Stay current on vascular coding and reimbursement updatesCollaboration &amp; Communication&middot; Work closely with physicians, clinical staff, billing manager, and practice leadership to clarify documentation and resolve billing issues&middot; Provide education and feedback to providers on documentation improvement opportunities&middot; Assist with workflow optimization and process improvement initiatives within the revenue cycleKey Performance Indicators (KPIs) &amp; Competencies &middot; Revenue cycle optimization&middot; Days in Accounts Receivables (A/R)&middot; Regulatory and compliance awareness&middot; Clear written and verbal communication&middot; Proactive follow-up and accountability&middot; Team-oriented mindsetRequired Qualifications&middot; High school diploma or equivalent&middot; 3+ years of medical billing experience, with vascular surgery experience strongly preferred&middot; Demonstrated knowledge of:-Vascular surgery CPT and ICD-10 coding-OBL and hospital-based billing workflows-Medicare and Commercial Payer Rules&middot; Proficiency with EMR and practice management systems&middot; Strong attention to detail and organizational skills&middot; Ability to manage multiple priorities in a fast-paced environmentPreferred Qualifications&middot; Certified Professional Coder (CPC, CCS, or equivalent)&middot; Experience with:-Greenway Health-Office-Based Labs (OBLs)-Dialysis access procedures-Endovascular interventions-Modifier-heavy vascular claims&middot; Familiarity with payer audits and appeals&middot; Experience in physician-owned or surgical specialty practiceWhy Join Us?&middot; Physician-owned practice with direct leadership access&middot; Opportunity to influence billing workflows and revenue performance&middot; Stable, specialty-focused environment&middot; Competitive compensation and benefitsJob Type: Full-timePay: From $20.00 per hourBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Vascular Surgery Billing Specialist

Join Bay Surgical Specialists and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Bay Surgical Specialists

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Vascular Surgery Billing Specialist