Advanced Orthopedics and Sports Medicine Institute
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Certified Professional Coder

301 Professional View Dr
Freehold, NJ

Full-Time

The Medical Billing and Coder is responsible for analyzing assigned past due accounts and coordinating between third party payers and internal parties to resolve payment discrepancies and delayed payments and takes appropriate action to recover overdue payments and litigated claims to ensure timely and efficient resolution.
• Medical insurance
• Dental insurance
• Vision insurance
• 401K with company match
• Flex Spending Account (FSA)
• Holiday / Overtime pay
• Cash Balance
AOSMI was founded in 2007 with the merger of two of the areas longest tenured practices – Western Monmouth Orthopedic Associates and New Jersey Orthopedic Associates.  For more than 25 years, each has been a leader in providing quality orthopedic and sports medicine care. Together as one, we are even stronger and making a real difference in people’s lives.

The combined practice allows us to draw on our complementary strengths to deliver exceptional patient-centered, patient-focused care for a better overall patient experience.

Our surgeons and staff are committed to restoring your health so that you can resume your normal routines as quickly as possible. We pride ourselves on exceptional service, medical expertise, and close doctor-patient relationships that all contribute to the healing process. You get the attention and treatment you need from Advanced Orthopedics Freehold – to feel better faster.
Daily Activity Review


  • Responsible for all aspects of account receivable
  • Working insurance denials and non-payments
  • Review Charges that have been posted by various practices that may be on HOLD and therefore may have not been submitted to payers for reimbursement or may not have been assigned to patient responsibility.
  • Determine the reason for the HOLD and resolve such issues.
  • End of Day Balancing
  • Run reports specified in the End of Day Balancing process and perform balancing procedures to ensure that all amounts reconcile to supporting documentation and to posted bank deposits.
  • Respond to payor/patient questions or correspondence regarding their account.
  • Research insurance patient account activity, so that all questions can be satisfactorily answered and required actions can be taken regarding the accounts.
  • Respond per Company protocols to patient phone calls and portal messages.
Monitor Accounts Receivable status


  • Run and review specified reports to ensure that the Company collects on a timely basis all funds that are due.
  • Review and handle delinquent accounts per Company’s collection protocols.
  • Collaborate with the Company’s collection agency.
  • Compliance Training, including but not limited to HIPAA Compliance.
  • Participate in HIPAA Training as specified by the Company and observe all HIPAA required protocols.
  • Participate in any other compliance training and observe specified requirements.
  • Engage in an iterative continuous improvement process to insure the effectiveness of the above set-forth policies, procedures, methodologies, and workflows. Make recommendations for adjustments were indicated to optimize efficiencies for staff and reliability of output for financial and operational reporting purposes, resulting in best-in-class practices and results.
  • Engage in a collaborative process with fellow colleagues to bring about the best possible experience for the patient.
  • Other duties as assigned.
  • Participate in and be an effective contributor in regular and ad-hoc meetings as necessary to achieve Company objectives.
  • Engage in professional growth opportunities through ongoing training and professional development and making use of feedback and recommendations.
   
REQUIRED QUALIFICATIONS:
 
  • Minimum of 3 years' medical billing and coding experience preferably in an orthopedic practice
  • Minimum of 3 years Healthcare financial services experience preferred.
  • Strong analytical skills and the ability to effectively read, generate and analyze reports.
  • Must have a CPC (Certified Professional Coding) certificate
  • Knowledge of ICD-9-CM, ICD-10 and HCPCS coding systems
  • Customer Service, communication, and organizational skills a must
  • Knowledge of eCW beneficial but not required.
  • Excellent interpersonal and communication skills, an outgoing personality, with a professional demeanor and positive attitude.
  • Strong attention to detail, excellent organizational skills, and excellent multitasking abilities
  • Proficient with Microsoft Office programs, specifically Word, Excel, and Outlook.
  • Strong oral and written communication skills.
  • Authorized to work in the US
  • Accept a background check to be performed
  • Accept a drug test to be performed
  • Minimum of 1 year coding experience in a physician practice
  • Perform accurate, timely coding charge entry and billing reconciliation functions for multiple physicians
  • Maintain proper, courteous, and helpful telephone etiquette
  • Ability to work under pressure and accurately prioritize problems & initiatives
  • Minimum High School Degree
  • CPC (Certified Professional Coding) certificate
  • Knowledge in: Knowledge of ICD-9-CM, ICD-10 and HCPCS coding systems
  • Knowledge in: Microsoft Office

Advanced Orthopedics and Sports Medicine Institute provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.