Billing Specialist - Outpatient

Job Summary

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

Duties and Responsibilities

• Demonstrate our core values of being patient centered, team focused, service driven, accountable, and innovative every day.
• Accurately review and abstract information from operative and clinical documentation to assign appropriate diagnosis and procedure codes for surgical cases.
• Ensure coding and billing practices comply with CMS guidelines, payer policies, and ASC-specific coding regulations.
• Manage billing functions for surgical procedures, including claim creation, submission, and follow-up for payment resolution.
• Communicate with providers and team members to clarify documentation and ensure code accuracy.
• Monitor and respond to coding-related denials, rejections, and edits; assist with appeals and identify areas for process improvement.
• Collaborate with the billing team and other departments to resolve discrepancies and optimize revenue cycle performance.
• Participate in internal audits, meet coding accuracy benchmarks, and stay current with coding regulations, payer updates, and orthopedic-specific policies.
• Answer incoming phone calls regarding billing and coding inquiries from patients, providers, team members, and external vendors, delivering clear, courteous, and professional assistance.
• Evolve in your role when performing supplemental responsibilities as assigned.