Ambulatory Surgery Center Billing Specialist

Excelsior OrthopaedicsEggertsville, NY
7d$20 - $36Onsite

About The Position

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.

Requirements

  • High School diploma or GED required; Associate degree preferred.
  • Minimum of 1 year of experience in medical billing, preferably in an orthopedic or ASC setting.
  • Familiarity with EHR/EMR systems and coding software; experience with SIS or Waystar is a plus.
  • Strong knowledge of medical terminology related to orthopedics, physical therapy, and podiatry preferred.
  • Excellent communication, organizational, and analytical skills.
  • Ability to work independently while contributing to a collaborative team environment.
  • Computer skills required with minimum proficiency in Microsoft Word, Excel, Outlook, and Teams.
  • Manual and finger dexterity and eye-hand coordination to enter data and operate office equipment
  • Corrected vision and hearing within normal range to observe and communicate with patients, providers, and staff.
  • Frequently remaining in a stationary position, often sitting for prolonged periods working on a computer, telephone, copy/fax machine, and other office equipment
  • Occasional standing and walking required
  • Occasional lifting and carrying items weighing up to 10 pounds.

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.
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