JOB DESCRIPTION: CFRS Certified Medical Biller and Coder

Application Closing Date: Open until position has been filled, interviews conducted on a rolling basis.

Position Start Date: Upon offer and successful completion of background check and on-boarding process.

Hours: Monday to Friday, 8:00am to 5:00pm

Work Location: Shrewsbury Office, 1131 Broad Street, Suite 201, Shrewsbury, NJ 07702

Company Website: www.myspinedoc.com

Work Remotely: No

Salary: $25.00 to $31.00 per hour

Reports To: Billing Manager and Practice Director

Position Summary: The Certified Medical Biller and Coder is a full-time, non-exempt (hourly) position at the Center for the Functional Restoration of the Spine. The Center for the Functional Restoration of the Spine (CFRS) is an Ortho-Spine specialty practice with clinical sites in Shrewsbury, Toms River, and Edison, New Jersey. There are several key differentiators that allow this practice to stand out amongst the rest – most notably their complicated revision case load and use of robotics in the operating room which substantially improves their patients’ surgical outcomes compared to the traditional surgical approach still being implemented by all other spine specialists in their market. Their proven approach has yielded significant reductions in patients’ length of stay which is not only beneficial to the patient but also our carriers in total reimbursements to the hospital. In addition, we offer onsite x-ray, epidural injections, facet injections, SI joint injections, trigger point injections, RFA – radio frequency ablation, and fracture care.

The Certified Medical Biller and Coder responsibilities include but are not limited to tasks that require data analysis and sound judgment to help our patients throughout the billing process. In addition, experienced with billing software and medical insurance policies.

• Properly code all office and hospital procedures, following the medical coding guidelines and procedures such as ICD-10, CPT, ARG, and ASA.
• Ensure codes are assigned correctly and sequenced appropriately as per government insurance regulations.
• Receiving and reviewing patient’s charts and documents for verification and accuracy.
• Following up and clarifying any information that is not clear to other staff members.
• Follow up on unpaid and denied claims. Resolve any billing discrepancies.
• Process insurance claims as quickly and efficiently as possible.
• Collects payments and posts payments to patient accounts.
• Data entry of medical charges, review claims, and submit claims to insurance carriers.
• Generate revenue by making payment arrangements, collecting accounts, and pursuing delinquent accounts. Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients when payment lapses occur.
• Work with physicians and other medical professionals to process insurance claims as quickly and efficiently as possible.
• Ensure all completed services have been billed and payment has been received.
• Stay updated on changes in medical coding guidelines and regulations.

Experienced Required:

• Associates degree in business, healthcare administration, accounting, or related field.
• Or, high school diploma or GED equivalent, with minimum of three years’ experience as Certified Medical Biller/Coder
• Certified Professional Coder Certification, required
• Orthopedic and/or Orthopedic Spine coding experience, highly preferred

Skills Required:

• Ability to work collaboratively in an ethnically, linguistically, and culturally diverse environment.
• Proven work experience as a Medical Biller/Coder.
• Proven work experience and working knowledge of ICD-10 codes, CPT codes, Medicare billing, commercial billing, workman’s compensation billing, and motor vehicle/PIP billing.
• Solid understanding of medical billing software and electronic medical records.
• Must have the ability to multitask and manage time effectively.
• Must have a working knowledge of medical practice management software (for example: Athena, Cerner, ECW, Epic) and electronic health records.
• Working knowledge of fax machines, copiers, scanners.
• Basic word processing skills. Must be familiar with Windows environment and have a working knowledge of MS Word, Excel, PowerPoint, and Teams.
• Excellent organizational skills; able to prioritize work in accordance with supervisory input.
• Attention to detail and accuracy in coding and billing processes.
• Strong writing skills.
• Excellent interpersonal and communication skills; personable and professional telephone presence.
• Ability to handle confidential information with sensitivity and accuracy.
• Able to lift to 25 pounds.
• Requires prolonged sitting, standing, walking, computer use, telephone use, and hand dexterity.
• Fluency in Spanish, preferred.

Compensation for the role will depend on several factors, including a candidate’s qualifications, skills, competencies, and experience.

We are proud to be an equal opportunity workplace and an affirmative action employer. As such, individuals are recruited, hired, assigned, and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. Please note we participate in E-Verify and will provide the federal government with your I-9 Form information to confirm that you are authorized to work in the United States.