Medical Biller/Coder

Job description:

We are seeking a skilled and dependable Billing & Coding Specialist with strong experience across multiple specialties. We are looking for someone who can confidently manage high-volume billing, ensure accurate coding, and support smooth reimbursement workflows for urgent care, orthopedic, and outpatient surgery services.

Key Responsibilities

• Accurately code and submit claims for urgent care, orthopedic, and surgery center encounters (CPT, ICD-10, HCPCS).
• Process claims for commercial insurance, Medicare, and workers’ compensation.
• Review and correct coding or documentation issues prior to claim submission.
• Monitor claims through the full revenue cycle: submission, payment posting, follow-up, and appeals.
• Handle claim denials, rejections, and underpayments with thorough follow-up.
• Communicate professionally with insurance carriers, adjusters, and attorney offices (PI cases).
• Prepare billing statements, liens, and medical records requests associated with personal injury cases.
• Maintain internal tracking logs for claims, denials, and follow-up actions.
• Work closely with clinic staff to obtain missing documentation or clarify coding questions.
• Ensure compliance with federal, state, and payer-specific billing guidelines.

Qualifications

• 2–3+ years of medical billing/coding experience (urgent care, ortho, and/or ASC experience strongly preferred).
• Strong knowledge of CPT, ICD-10, HCPCS, modifiers, and insurance billing requirements.
• Experience with personal injury billing, attorney offices, and lien-based cases.
• Familiarity with workers’ comp billing and authorization workflows.
• Ability to manage denials, appeals, and insurance communication confidently.
• Excellent attention to detail and organizational skills.
• Strong communication skills and ability to work independently.
• Experience with EMR/EHR systems and clearinghouse portals.

Preferred

• Certification (CPC, CCA, CCS, or equivalent).
• Experience in billing orthopedic surgeries, injections, PRP, and ancillary procedures.
• Knowledge of surgery center billing and global periods.

Job Type: Full-time

Experience:

• Medical billing: 2 years (Required)

Job Type: Full-time

Pay: $25.00 - $28.00 per hour

Application Question(s):

• I understand that this is an in-person position. Not a remote position. Type "yes" if you understand and agree to this.

Experience:

• Medical billing: 2 years (Required)

Work Location: In person