In Office Medical Coder

Job Description

Job Description

About Us:
Princeton Surgical Associates is a busy, surgical practice dedicated to providing high-quality patient care. We are seeking a skilled and detail-oriented Medical Coder to join our billing and coding team.

Position Summary:
The Medical Coder is responsible for reviewing clinical documentation to assign appropriate ICD-10, CPT, and HCPCS codes for diagnoses and procedures. This position ensures accuracy and compliance with payer guidelines, regulatory requirements, and internal policies to maximize reimbursement and minimize denials.

Key Responsibilities :

• Checking eligibility and benefits verification for treatments, hospitalization, and procedures.
• Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
• Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
• Following up on unpaid claims within standard billing cycle timeframe.
• Checking each insurance payment for accuracy and compliance with contract discount.
• Calling insurance companies regarding any discrepancy in payments if necessary.
• Identifying and billing secondary or tertiary insurances.
• Reviewing accounts for insurances of patient follow-up.
• Researching and appealing denied claims
• Answering all patient and insurance telephone inquiries pertaining to assigned accounts.
• Setting up patient payment plans and work collection accounts
• Updating billing software with rate changes.
• Updating cash spreadsheets, and running collection reports.
• Collaborate with physicians, billing, and administrative staff to ensure efficient workflow and compliance.

Qualifications:

• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required.
• Minimum 1–2 years of medical coding experience (specialty experience a plus, e.g., surgical, cardiology, dermatology, etc.).
• Strong understanding of anatomy, physiology, and medical terminology.
• Familiarity with EMR and billing systems (e.g., Epic, Athena, NextGen, etc.).
• Excellent attention to detail, organization, and communication skills.

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, scanners, and fax machines.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms.

Position Type/Expected Hours of Work

This is a full-time position. Days and hours of work are Monday through Friday, 8:30 a.m. to 5 p.m.

Benefits:

• Competitive salary commensurate with experience
• Health, dental, and vision insurance
• Paid time off and holidays
• Retirement plan
• Continuing education and certification reimbursement

Princeton Surgical Associates is a premier surgical practice comprised of eight board-certified surgeons dedicated to delivering exceptional and personalized patient care. Our team offers a full range of state-of-the-art surgical services, including minimally invasive, laparoscopic, robotic, and office-based procedures tailored to each patient’s unique needs. By combining advanced surgical techniques with individualized treatment plans, we are committed to providing the highest standards of excellence, compassion, and clinical expertise in every aspect of patient care.

Company Description

Princeton Surgical Associates is a premier surgical practice comprised of eight board-certified surgeons dedicated to delivering exceptional and personalized patient care. Our team offers a full range of state-of-the-art surgical services, including minimally invasive, laparoscopic, robotic, and office-based procedures tailored to each patient’s unique needs. By combining advanced surgical techniques with individualized treatment plans, we are committed to providing the highest standards of excellence, compassion, and clinical expertise in every aspect of patient care.