Find & Apply For Medical Biller Jobs in Troy, Michigan

About Us:

Visit www.

AmericanSurgicalGroup.com for more information on how ASG is contributing to the future of optimizing patient care in our communities. American Surgical Group, together with our health system relationships and physician partners, own and operate ambulatory surgical centers and medical center developments in the United States. Our management teams work hands-on to provide the best work environment for our physician partners and employees, the safest clinical space for their patients, and an overall structure for continued sustainable growth. The synergy provided by American Surgical Group means more time to focus on patient care, while enjoying improved operational efficiency.

Summary:

In this critical role, we are seeking a competent and detail-oriented Medical Coder and Biller to support our surgical center's coding, billing, and revenue cycle operations. The Medical Coder and Biller will be responsible for reviewing medical documentation and accurately assigning Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codes for insurance claims and internal databases. The ideal candidate will have experience in medical coding and billing, with surgical and/or anesthesia coding and billing experience preferred. Experience with insurance verification, prior authorizations, claims processing, denials, and working with health insurance plans is also preferred.

Responsibilities include:

Extracting relevant information from patient records and medical documentation. Liaising with physicians, anesthesia providers, clinical staff, and other parties to clarify documentation and coding information. Examining medical records and documents for missing, incomplete, or inconsistent information. Assigning accurate CPT, HCPCS, and

ICD-10-CM

codes based on medical documentation. Ensuring documents are grammatically correct and free from typing and documentation errors. Performing chart audits to ensure accuracy, completeness, and compliance with coding guidelines. Advising and providing education or training to physicians and staff regarding medical coding requirements and best practices. Ensuring compliance with medical coding policies, payer requirements, and applicable coding guidelines. Reviewing medical records and claims for accuracy prior to submission to insurance carriers. Preparing, submitting, and following up on insurance claims. Verifying patient insurance eligibility, benefits, and coverage as needed. Assisting with obtaining prior authorizations and pre-certifications for surgical procedures and services. Reviewing and addressing claim denials, rejections, underpayments, and other billing discrepancies. Communicating with health insurance companies regarding claims, authorizations, coverage, and reimbursement. Assisting with payment posting, accounts receivable follow-up, and resolution of outstanding balances. Supporting accurate and timely billing for surgical and anesthesia services. Maintaining knowledge of commercial insurance plans, Medicare, Medicaid, and other payer requirements. Identifying recurring coding, billing, authorization, or documentation issues and communicating opportunities for improvement. Maintaining patient confidentiality and ensuring compliance with HIPAA and applicable healthcare regulations.

PERSONAL AND PROFESSIONAL ATTRIBUTES

The ideal candidate must be a rigorous analytical thinker and problem solver with the following professional attributes: Strong work ethic Sound judgment Proven written and verbal communication skills employee referral program template Natural curiosity to pursue issues and increase expertise Pursue and design innovative analytical performance metrics The courage to promote and defend ideas and analyses Passionate about American Surgical Group, serving doctors and patients Strives to make an impact on improving our business processes and results Exemplary honesty and integrity Ability to collaborate effectively and work selflessly as part of a team

COMPREHENSIVE BENEFIT PACKAGE

At American Surgical Group, we give our employees the tools to succeed both on and off the job. Our generous benefits package provides comprehensive coverage to help you protect your health and earning power and prepare for the future. In addition, we offer perks and programs that help you grow in your career and make American Surgical Group a great place to work. Health plan options that include an employer contribution Dental Insurance Life Insurance, STD & LTD Cancer Protection, Accident, and Hospital Indemnity 401(k) with a specified Company Match Paid Time Off Competitive Pay Employee Referral Bonus Hybrid flexible schedule Desired Skills and Experience Experience 2-3 year(s): Medical Coder and Biller experience or similar role (preferred) Understanding of coding/billing software and electronic medical records Education High School Diploma/GED CPC and/or CCA (preferred) Skills Function independently Highly detail oriented Critical thinking

Behaviors Dedicated:

Devoted to a task or purpose with loyalty or integrity

Team Player:

Works well as a member of a group

Functional Expert:

Considered a thought leader on a subject Compensation for this position will be based on factors such as experience, education, certifications, and the complexity of the facility and responsibilities.

Job Type:

Full-time Expected hours: 40.0 per week

Benefits:

401(k) 401(k) matching Dental insurance Employee discount Flexible schedule Flexible spending account Health insurance Health savings account Life insurance Paid time off Professional development assistance Referral program Vision insurance

Experience:

Coding:

4 years (Required)

License/Certification:

Medical Coding Certification (Preferred)

Work Location:

In person