Coding and Billing Specialist, Surgery Center

**We offer flexibility with remote or hybrid work options based on your preference.**

Job Summary

We are seeking a detail-oriented and experienced Medical Coder/Biller to join our Ambulatory Surgery Center (ASC) team. This role is responsible for accurately assigning CPT, ICD-10-CM, and HCPCS Level II codes for surgical and clinical procedures, ensuring accurate reimbursement, coding compliance, and efficient billing processes. The ideal candidate has strong knowledge of orthopedic coding, ASC-specific billing practices, and payer regulations.

Duties and 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.

Requirements and Qualifications

• High School diploma or GED required; Associate degree preferred.
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required.
• Minimum of 1 year of experience in medical coding and/or billing, preferably in an orthopedic or ASC setting.
• Familiarity with EHR/EMR systems and coding software; experience with SIS 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.

Physical Demands

• 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.

Benefits

We offer a comprehensive benefits package that includes health (with employer contribution), dental, and vision insurance, employer paid base life, and other voluntary benefits*. Time off benefits include paid combined time off (CTO) and seven paid holidays, plus a floating holiday after one year of service. Retirement benefits include a 401(k) with company contribution and profit sharing after one year of service. Qualified team members become eligible to participate in medical benefits on the 1st of the month following date of hire, and retirement benefits after 90 days.

We also provide professional development opportunities, flexible work schedules, wellness incentives, healthy vending options, and relaxed dress code on Fridays. Our community-focused culture encourages participation in local events, fundraisers, and causes chosen by our team. We are committed to providing our employees with the resources they need to thrive both personally and professionally.

*Other voluntary benefits include Voluntary Short Term Disability, Long Term Disability, Critical Illness, Accident Insurance, Supplemental Life Insurance, and legal and identity protection and pet insurance.

Who We Are

Excelsior Orthopaedics is a multi-specialty orthopedic practice that has been providing comprehensive care since 2002. We have multiple locations throughout the Western New York region and a free-standing ambulatory surgery center, Buffalo Surgery Center. Excelsior Orthopaedics offers a suite of in-house services including general orthopaedic evaluation and treatment, podiatry, physical & occupational therapy, nutrition counseling, sports training, outreach athletic training, orthopaedic express care, imaging, durable medical equipment, and an outpatient total joint program. Buffalo Surgery Center provides surgical and procedural treatments for orthopaedic, pain and spine, podiatry, total joint replacement, and gastrointestinal patients. Our mission is to transform the lives of our patients by restoring function and enhancing quality of life. We are committed to innovative care that is driven by patient needs and supported by the most skilled, experienced team in Western New York.

The pay range for this position is determined based on several factors, including the candidate’s years of experience, qualifications, training, licenses, designations, and the overall market conditions.

This job description does not state or imply that the duties and responsibilities listed are the only ones required of this position. Team members in this role will be required to perform other job-related duties at the discretion of the employer and may have additional duties assigned as necessary.

Excelsior Orthopaedics and Buffalo Surgery Center are committed to the full inclusion of all applicants. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information.