Core Responsibilities Specialized Coding:

Translate physician notes into precise ICD-10-CM, CPT, and HCPCS codes for spinal injections, facet blocks, epidurals, and spinal cord stimulators.

Modifier Management:

Apply precise billing modifiers (e.g., -50 bilateral, -51 multiple procedures) to prevent National Correct Coding Initiative (NCCI) edits and artificial line-item denials.

Claim Submission:

Audit and scrub electronic claims for completeness, accuracy, and demographic validity prior to submitting them to the clearinghouse.

Denial Remediation:

Analyze, appeal, and overturn denied claims by checking payer policies and submitting targeted medical necessity documentation.

Prior Authorization Verification:

Match finalized procedural documentation against pre-authorized insurance codes to ensure alignment before billing.

Patient Advocacy & Support:

Answer incoming patient inquiries regarding complex balance statements, deductibles, co-pays, and out-of-pocket payment plans. Required Qualifications (Must-Haves)

Targeted Experience:

Minimum of 2-3 years of dedicated outpatient medical billing and coding experience.

Technical Mastery:

Highly proficient with Electronic Health Records (EHR) and specialized medical billing clearinghouse software.

Compliance Knowledge:

Expert understanding of HIPAA rules, Medicare Local Coverage Determinations (LCDs), and Commercial Payer policies for pain medicine. Preferred Qualifications (Nice-to-Haves)

Specialty Credential:

Certified Rheumatology Coder ( CRHC ) or Certified Orthopaedic Coder ( COSC ).

Pain Management Focus:

Prior billing experience handling fluoroscopy-guided spinal procedures, drug screening tox-labs, and durable medical equipment (DME).

Payer Expertise:

Proven track record negotiating workers' compensation claims, personal injury liens, and auto-accident insurance medical payments.

Benefits & Perks Health & Wellness:

Comprehensive medical, dental, and vision insurance coverage options.

Financial Security:

401(k) retirement savings plan with competitive company matching contributions.

Work-Life Balance:

Flexible Monday-through-Friday daytime hours with zero weekend or holiday shifts. Equal Opportunity Statement Our practice is an Equal Opportunity Employer. We celebrate workplace diversity and maintain a non-discriminatory environment for all qualified applicants.

Pay:

From $18.00 per hour

Benefits:

401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off

Work Location:

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