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Texas Pain and Spine Physicians

Certified Medical Coder/Biller-interventional pain management.

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Job Description

About us Texas Pain and Spine Physicians is a solo physician run practice that specializes in individualized care. We are professional and we are dedicated to providing compassionate and comprehensive pain management services to patients suffering from chronic pain conditions. Our pain clinic is committed to improving the quality of life for individuals by offering a multidisciplinary approach to pain management. Our team of experienced healthcare professionals, and support staff, are specialized in the diagnosis, treatment, and ongoing management of various pain conditions. We understand that chronic pain can significantly impact a person's physical, emotional, and social well-being. Therefore, we strive to create a supportive and caring environment where patients feel heard, understood, and empowered throughout their pain management journey. Key elements of our pain clinic:
Comprehensive Pain Management:
We provide a wide range of evidence-based treatments and therapies to effectively manage chronic pain. Our approach includes interventional pain procedures, medication management, physical therapy, psychological counseling, and alternative modalities, all tailored to meet the unique needs of each patient.
Multidisciplinary Approach:
We believe in the power of collaboration. Our pain clinic brings together a team of specialists from different disciplines to develop personalized treatment plans. Our experts collaborate closely, sharing their knowledge and expertise, to address the various aspects of pain and enhance treatment outcomes.
Patient-Centered Care:
Our patients are at the heart of everything we do. We take the time to listen to their concerns, understand their pain experiences, and involve them in shared decision-making. We strive to educate and empower our patients, providing them with the tools and resources necessary to actively participate in their pain management and achieve optimal results.
State-of-the-Art Facilities:
Our pain clinic is equipped with modern medical technology and facilities to deliver advanced diagnostic and treatment services. We maintain high standards of safety, cleanliness, and comfort to ensure the well-being and satisfaction of our patients. At Texas Pain and Spine Physicians, we are dedicated to making a positive difference in the lives of individuals suffering from chronic pain. We are committed to providing comprehensive, personalized, and compassionate care to help our patients regain control over their lives and find relief from pain. We are a solo interventional pain management practice in Round Rock that is hiring a full-time, in-office certified coder to own coding accuracy, denial prevention, and appeals for our procedural claims. This is a hands-on role with direct ownership of outcomes — not a shared or pooled coding position. We are seeking an experienced and detail-oriented Medical Biller to join our team at Texas Pain and Spine Physicians. As a Medical Biller, you will be responsible for accurately processing and submitting medical claims to insurance companies, ensuring timely reimbursement for medical services rendered. In this role, you will work closely with healthcare providers, patients, and insurance companies to resolve billing issues and ensure accurate billing practices. About the role Texas Pain and Spine Physicians PLLC, a solo interventional pain management practice in Round Rock, is hiring a full-time, in-office certified coder to own coding accuracy, denial prevention, and appeals for our procedural claims. This is a hands-on role with direct ownership of outcomes — not a shared or pooled coding position. What you'll do Code and review all interventional procedures (epidural injections, facet injections, RFA, SI joint procedures, spinal cord stimulator trials/implants) for CPT/ICD-10/modifier accuracy prior to submission Own modifier discipline specifically: 25, 50, 59/XS/XU, 76, and fluoroscopic guidance bundling on procedure days Track
NCCI/MUE
edits and LCD requirements for our MAC jurisdiction Manage the denial and appeals queue in athenaOne, including reopening closed/adjusted balances before resubmission Conduct periodic self-audits of coding accuracy and report findings directly to the physician-owner Coordinate with our EHR/billing platform (athenaOne) and our front-end billing contractor on charge capture accuracy Maintain compliance documentation and support any payer or internal audits Qualifications Active CPC or CPMA certification (AAPC or AHIMA) — required 2+ years coding experience in interventional pain management, anesthesia, or a closely related surgical specialty — strongly preferred Working knowledge of athenaOne or a comparable EHR/PM platform Strong understanding of Medicare/commercial payer modifier and bundling rules Detail-oriented, comfortable working independently and owning outcomes Compensation & schedule Full-time, in-office,
Round Rock, TX Salary:
commensurate with certification and pain-management coding experience Review and verify patient demographic and insurance information for accuracy and completeness. Utilize the Athena medical billing software to generate and submit electronic claims to insurance companies. Follow up on unpaid claims and denials, investigating and resolving billing issues to ensure maximum reimbursement. Review Explanation of Benefits (EOB) statements and insurance correspondence to identify discrepancies and take appropriate actions. Accurately post payments and adjustments received from insurance companies and patients into the billing system. Generate patient statements, review outstanding balances, and follow up with patients on outstanding payments. Maintain knowledge of medical coding systems, such as CPT, ICD-10, and HCPCS, to ensure accurate claim submission. Collaborate with healthcare providers to obtain any necessary documentation or clarification for claim submission. Stay up to date on insurance regulations, reimbursement guidelines, and industry changes affecting medical billing practices. Provide excellent customer service to patients, insurance companies, and internal staff regarding billing inquiries and concerns. Assist with other administrative tasks related to medical billing and revenue cycle management, as needed. Familiar with the prior -authorization process for procedures.
Qualifications:
High school diploma or equivalent (associate's degree in healthcare administration or related field preferred). Proven experience as a Medical Biller, preferably using the AdvancedMD and Athena medical billing software. Solid understanding of medical billing processes, including claim submission, payment posting, and denial management. Proficient in medical coding systems (CPT, ICD-10, HCPCS) and billing regulations. Familiarity with insurance guidelines, reimbursement policies, and industry best practices. Strong attention to detail and ability to accurately review and analyze billing data. Excellent organizational and time management skills to prioritize tasks and meet deadlines. Effective written and verbal communication skills, with the ability to explain billing concepts to patients and insurance representatives. Strong problem-solving and critical-thinking abilities to resolve billing issues and discrepancies. Proficient in using computer systems, including electronic health record (EHR) and medical billing software. If you are interested in this position and meet the qualifications mentioned above, please submit your resume and cover letter. We appreciate all applications, but only those selected for an interview will be contacted.
Job Types:
Full-time, Part-time Pay:
$20.00 - $27.00 per hour
Benefits:
401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance
Experience:
ICD-10: 1 year (Preferred)
Work Location:
In person

Benefits

  • Paid Time Off (PTO)
  • 401(k) Plans
  • Health Insurance
  • Dental Insurance