Medical Billing & Coding Specialist

Position Title: Medical Biller & Coding Specialist
Location: Rocky Hill, CT
Type: Full-time, In-house

Orthopedic Surgical Partners is a premier orthopedic healthcare group committed to providing exceptional, patient-centered care. We strive for excellence in quality, efficiency, and patient outcomes and are seeking a detail-oriented and experienced Medical Billing & Coding Specialist to join our team.

This is a full-time position requiring a minimum of 2 years of medical billing experience, including charge posting, payment posting, collections, and A/R. Candidates must hold a Certified Professional Coder (CPC) certification and have at least 1 year of orthopedic medical billing experience.

The position will support our busy orthopedic practice and will be responsible for coding, claims management, insurance follow-up, A/R, and self-pay collections.

• Code and/or review diagnoses, co-morbidities, complications, and diagnostic procedures.
• Apply current CPT, HCPCS, and other applicable coding systems.
• Review medical records for accurate and compliant coding in accordance with CMS guidelines and current reimbursement policies.
• Stay current with coding, compliance, and reimbursement requirements.
• Identify coding and compliance issues and provide accurate coding guidance to providers.
• Implement new coding guidelines and recommend strategies to improve coding accuracy and reimbursement.
• Manage and follow up on insurance A/R and outstanding claims.
• Post insurance and self-pay payments.
• Assist with self-pay collections and account follow-up.
• Perform other duties as assigned.

Education:

• Certified Professional Coder (CPC) certification preferred.
• High school diploma required; bachelor's degree preferred.

Benefits:

• Health Insurance (Medical, Dental, and Vision coverage)
• 401(k) Retirement Plan
• Paid Time Off (PTO)

We believe that every member of our team plays a vital role in providing the highest quality care to our patients. If you are a dedicated and detail-oriented professional looking to make an impact in the orthopedic healthcare field, we encourage you to apply!