Summary/Objective

The medical biller is responsible for billing and coding noncomplex therapy/office visits according to ICD-10 and CPT4 principles and conventions in order to obtain reimbursement from insurance companies and government healthcare programs, such as Medicare. Has an understanding and can interpret explanation of benefits, accepts payments, data entry, and identifies paper claim requirements. Audits and reviews EOB's to ensure payer reimbursement is accurate. Maintains open communication with medical staff and performs other related duties as assigned.

Minimum Qualifications:

1. High school diploma or equivalent required.

2. Medical Terminology required.

3. Certificate or associate's degree in medical coding or a related field

4. Efficient in the use of standard office equipment, data entry, typing, 10-key skills, and alpha/numerical filing.

Essential Functions:

· Regular and predictable attendance is an essential job function.

· Majority of the shift is spent sitting.

· Frequent reaching, stooping and twisting when filing, accessing records and answering telephone

· Ability to lift up to 25 pounds.

· Read a variety of printed and handwritten materials, computerized reports, manuals, and correspondence.

· Communicates with patients, physicians, families and co-workers in person and on the telephone.

Work Environment:

· Orthopedic Surgery & Sports Medicine operates in a professional office environment. Days and hours of work are conducted Monday thru Friday 8:00 am to 5:00 pm. Occasional evening and weekend work may be required as job duties demand.

· This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

· Orthopedic Surgery & Sports Medicine has multiple locations and travel may be required.