(CPC) Certified Professional Coder coder 3 jobs

Full Time

South Hills Orthopaedic Surgery Associates PC Bethel Park, PA, USA

We are seeking an experienced and detail-oriented Billing Manager/Revenue Cycle Manager to join our orthopaedic surgery practice. This key leadership position will be responsible for overseeing all aspects of our revenue cycle operations, from insurance verification through payment posting and collections. The ideal candidate will have extensive experience in healthcare billing, particularly in orthopaedic or other surgical specialty practice settings, with a strong understanding of medical coding, insurance reimbursement, and revenue cycle optimization. This position plays a critical role in ensuring the financial health and sustainability of our practice by maximizing revenue capture and minimizing payment delays. As the Billing Manager, you will directly supervise all billing staff members and work closely with practice leadership to ensure financial stability and growth through efficient revenue cycle processes. This role requires exceptional analytical skills, leadership...

Full Time

Billing Manager – Plastic Surgery Practice

SPIRO PLASTIC SURGERY West Orange, NJ, USA

Position Summary The Billing Manager will oversee all aspects of the practice’s revenue cycle and accounts receivable, ensuring accuracy, timeliness, and compliance. This role requires strong knowledge of both cosmetic and insurance-based billing processes, plastic surgery coding, excellent communication skills, and the ability to work closely with patients, providers, insurance companies, and internal team members. Knowledge and understanding of the Federal IDR process and the NSA (No Surprises Act) is required. Interfacing with attorney firms specializing in physician advocacy litigation and the IDR process is a significant part of this role. Key Responsibilities Insurance & Authorization Management Verify eligibility and benefits Run prior authorizations for procedures and services Initiate pre-determinations as needed Update surgical insurance status forms Gather all supporting documents necessary for claims and approvals...

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