<p>We are seeking a detail-oriented <strong>Surgery Medical Coder</strong> to join our team. This role is primarily remote, but candidates must live close enough to Indianapolis, IN to attend minimal onsite training and occasional in-person meetings as needed. The ideal candidate will have coding experience in a surgical specialty environment and hold an active coding certification.</p><p><br></p><p><strong>PLEASE NOTE</strong>: One of the following certifications is required:</p><ul><li>Certified Professional Coder (CPC)</li><li>Certified Coding Specialist – Physician-based (CCS-P)</li><li>Certified Orthopedic Surgery Coder (COSC)</li></ul><p><br></p><p><br></p><p><strong>Hours</strong>: Monday - Friday, 8am -5pm</p><p><br></p><p><strong>Responsibilities for the position include the following</strong>:</p><ul><li>Review and accurately code surgical procedures, diagnoses, and related services</li><li>Ensure coding compliance with payer, regulatory, and organizational guidelines</li><li>Analyze medical documentation to assign appropriate CPT, ICD-10, and HCPCS codes</li><li>Work closely with providers and staff to clarify documentation as needed</li><li>Maintain productivity and accuracy standards in a remote work environment</li><li>Support billing and reimbursement processes through precise code assignment</li><li>Participate in minimal onsite training sessions and periodic team meetings</li></ul>
<p>We are seeking a dedicated and detail-oriented Coordination of Benefits Specialist to support patients in resolving complex insurance billing and claim denial issues. This role is ideal for someone who thrives in high-volume, fast-paced environments and is passionate about advocating for patients while navigating insurance processes.</p><p>The primary focus is resolving Coordination of Benefits (COB) claim denials by serving as the liaison between patients and insurance carriers. A significant portion of the role involves direct communication through inbound/outbound calls, including three-way calls with patients and insurance representatives.</p><p>Key Responsibilities</p><ul><li>Oversee and support the Coordination of Benefits Denial workflow within the team</li><li>Serve as the primary liaison between patients and insurance companies</li><li>Conduct high-volume outreach via phone calls, letters, and text messaging</li><li>Facilitate three-way calls between patients and insurance representatives to resolve claim issues</li><li>Investigate accounts thoroughly to ensure accurate and optimal claim resolution</li><li>Drive insurance payment resolution through effective follow-up and advocacy</li><li>Maintain detailed documentation of account activity and outcomes</li><li>Manage an assigned workload of approximately 3,000 accounts across multiple payers</li><li>Collaborate with team members to ensure consistency and accuracy in resolution strategies</li></ul>