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Billing Specialist - Outpatient

Excelsior Orthopaedics

We are seeking a detail-oriented and experienced Biller to join our Ambulatory Surgery Center (ASC) team. Ideal candidates possess strong knowledge of orthopedic coding, ASC-specific billing practices, and payer regulations.

Responsibilities:

  • Demonstrate core values: patient centered, team focused, service driven, accountable, innovative.
  • Review and abstract information from operative and clinical documentation to assign diagnosis and procedure codes for surgical cases.
  • Ensure compliance with CMS guidelines, payer policies, and ASC coding regulations.
  • Manage billing functions for surgical procedures: claim creation, submission, follow-up.
  • Communicate with providers to clarify documentation and ensure coding accuracy.
  • Monitor and respond to coding-related denials, rejections, edits; assist with appeals and process improvement.
  • Collaborate with billing team and departments to resolve discrepancies and optimize revenue cycle.
  • Participate in internal audits and maintain coding accuracy.
  • Stay current with coding regulations, payer updates, and orthopedic policies.
  • Handle incoming billing and coding inquiries from patients, providers, and vendors professionally.

Requirements:

  • High School diploma or GED required; Associate degree preferred.
  • Minimum 1 year experience in medical billing, preferably orthopedic or ASC.
  • Familiarity with EHR/EMR systems and coding software; experience with SIS or Waystar a plus.
  • Strong knowledge of medical terminology related to orthopedics, physical therapy, and podiatry preferred.
  • Excellent communication, organizational, and analytical skills.
  • Ability to work independently and collaboratively.
  • Proficiency in Microsoft Word, Excel, Outlook, Teams.

Physical Demands:

  • Manual dexterity and eye-hand coordination for data entry.
  • Corrected vision and hearing within normal range to communicate effectively.
  • Primarily sedentary work with occasional standing/walking and light lifting.

This role does not offer specified yearly salary, hourly wage provided: $19.80 - $35.64 per hour.

Excelsior Orthopaedics and Buffalo Surgery Center value inclusion and equal employment opportunity.

Requirements & Qualifications
  • High School diploma or GED required; Associate degree preferred.
  • Minimum 1 year of experience in medical billing, preferably orthopedic or ASC.
  • Familiarity with EHR/EMR systems and coding software; SIS or Waystar experience is a plus.
  • Strong knowledge of medical terminology related to orthopedics, physical therapy, and podiatry.
  • Excellent communication, organizational, and analytical skills.
  • Ability to work independently and in a team environment.
  • Computer skills: proficiency with Microsoft Word, Excel, Outlook, and Teams.

Location

New York, US

Employment Type

Full-time

Experience Level

Associate

Remote work allowed

No

Posted

1 month ago

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