Medical Billing/Coding Specialist
Benefits:
- 401(k)
- Employee discounts
- Health insurance
- Paid time off
About the Role: Gamma Surgery Center LLC in Pittsburgh, PA is looking for a detail-oriented Medical Billing/Coding Specialist to join our dedicated healthcare team. This is a great opportunity to play a vital role in the financial operations of a dynamic surgical facility where accuracy and efficiency truly matter. Responsibilities:
- Accurately assign ICD-10, CPT, and HCPCS codes to surgical procedures and diagnoses
- Submit and follow up on medical claims to insurance carriers, Medicare, and Medicaid
- Review and resolve claim denials, rejections, and underpayments in a timely manner
- Post payments and adjustments to patient accounts and reconcile billing records
- Verify patient insurance eligibility and obtain necessary pre-authorizations
- Communicate with physicians, clinical staff, and payers to resolve billing discrepancies
- Ensure compliance with HIPAA regulations and coding guidelines
Requirements:
- Experience in medical billing and coding, preferably in a surgical or outpatient setting
- Familiar with Surgical Information Systems (SIS) computer system
- Proficiency with ICD-10-CM, CPT, and HCPCS coding systems
- CPC, CCS, or equivalent medical coding certification preferred
- Familiarity with insurance claim submission, EOBs, and denial management
- Knowledge of Medicare, Medicaid, and commercial payer billing requirements
- Strong attention to detail and ability to meet deadlines in a fast-paced environment
- Excellent communication and organizational skills
About Us: Gamma Surgery Center LLC is a trusted surgical facility based in Pittsburgh, PA, committed to delivering high-quality patient care in a safe and efficient environment. Our team of skilled professionals takes pride in providing exceptional surgical services that patients and physicians rely on. We foster a collaborative and supportive workplace where every team member's contribution makes a meaningful difference. Flexible work from home options available.