Join One of Oregon's Premier Plastic Surgery Practices
Neaman Plastic Surgery is seeking an experienced Medical Billing & Coding Specialist who understands that accurate coding is the foundation of a healthy revenue cycle.
This is an excellent opportunity for someone with strong CPT, ICD-10-CM, HCPCS, modifier, and insurance billing knowledge who enjoys both the technical side of coding and the problem-solving involved in getting claims paid correctly.
Our ideal candidate isn't simply a claim submitter. We're looking for someone who can review documentation, identify coding or billing issues before they become denials, understand payer requirements, work complex accounts through resolution, and collaborate with providers and staff to improve revenue cycle performance.
Experience in plastic surgery, surgery/ASC, orthopedics, hand surgery, or another procedural specialty is especially valuable.
Position Summary
The Medical Billing & Coding Specialist supports coding, billing, and accounts receivable across Neaman Plastic Surgery, Neaman Surgery Center, Medi Spa, Hand Therapy, and Wellness Center services.
This role is responsible for ensuring charges and claims are accurate, appropriately coded, supported by documentation, and submitted in accordance with payer requirements. The position also follows claims throughout the revenue cycle, including rejections, denials, appeals, payment discrepancies, and insurance accounts receivable.
The right person will bring strong coding knowledge while also being comfortable working the full revenue cycle from charge review through final payment.
Key Responsibilities
Medical Coding & Charge Review
- Review clinical documentation and charges for coding accuracy and completeness
- Apply and validate appropriate CPT, ICD-10-CM, HCPCS, and modifiers
- Ensure documentation supports services billed and applicable medical necessity requirements
- Identify coding discrepancies before claim submission
- Review coding-related claim edits, denials, and payer issues
- Research payer-specific coding and reimbursement requirements
- Assist providers and clinical staff with coding and documentation questions
- Identify documentation or coding patterns that may create compliance or reimbursement concerns
- Stay current on coding guidelines, payer policies, and regulatory changes
Medical Billing & Claims Management
- Submit accurate, clean claims in a timely manner
- Review and resolve claim edits, clearinghouse rejections, and billing errors
- Follow claims throughout the complete billing lifecycle
- Submit corrected claims when necessary
- Coordinate primary and secondary insurance billing
- Verify contractual adjustments and reimbursement accuracy
- Identify recurring billing or reimbursement issues and recommend solutions
Denials, Appeals & Accounts Receivable
- Work assigned insurance AR and aging reports
- Research unpaid and underpaid claims
- Identify the root cause of denials and determine appropriate corrective action
- Prepare and submit appeals with appropriate documentation
- Follow denied claims through final resolution
- Follow up with commercial insurance, Medicare, Medicaid, workers' compensation, auto, and specialty carriers as applicable
- Document payer communications and follow-up activity accurately
- Escalate recurring payer, coding, or reimbursement issues
Payment Review & Reconciliation
- Review EOBs and ERAs for payment accuracy
- Identify underpayments, overpayments, and posting discrepancies
- Investigate unapplied or incorrectly applied payments
- Assist with payment and deposit reconciliation
- Support month-end reconciliation processes
- Process refunds and adjustments as appropriate
Patient Financial Services
- Answer patient billing questions professionally and compassionately
- Explain insurance processing, benefits, and patient balances
- Assist with payment arrangements when appropriate
- Maintain confidentiality when discussing financial and medical information
Collaboration & Process Improvement
- Work closely with providers, clinical staff, surgery scheduling, front office, and the billing team
- Help identify opportunities to improve coding accuracy, clean claim rates, denial prevention, and reimbursement
- Participate in revenue cycle process improvement initiatives
- Assist with cross-training and departmental coverage
- Support departmental productivity and accuracy goals
Qualifications
Required
- Minimum 2 years of medical billing, coding, or revenue cycle experience
- Strong working knowledge of CPT, ICD-10-CM, HCPCS, and modifiers
- Experience reviewing clinical documentation and charges for billing/coding accuracy
- Strong knowledge of medical insurance billing and reimbursement
- Experience working insurance denials, appeals, and AR follow-up
- Ability to read and interpret EOBs and ERAs
- Understanding of payer guidelines and medical necessity requirements
- Strong analytical and problem-solving skills
- Exceptional attention to detail
- Strong computer proficiency
- Excellent written and verbal communication skills
- Ability to manage multiple priorities in a fast-paced environment
Preferred
- CPC, CCS, CCA, or other recognized coding certification
- Experience coding surgical or procedural services
- Plastic surgery, ASC, orthopedics, hand surgery, or other surgical specialty experience
- Experience with Medicare, commercial insurance, workers' compensation, and auto claims
- Experience with Nextech EMR/PM software
- Familiarity with both cosmetic and insurance-based medical services
- Experience identifying and resolving coding-related denials
- Experience communicating with providers regarding documentation and coding requirements
What Makes Someone Successful Here?
You'll likely thrive in this position if you:
- Enjoy investigating why a claim wasn't paid correctly
- Catch details other people miss
- Understand the relationship between documentation, coding, billing, and reimbursement
- Are comfortable researching unfamiliar payer or coding issues
- Take ownership of accounts through resolution rather than simply passing problems along
- Communicate confidently and professionally with providers, coworkers, payers, and patients
- Stay organized while managing competing priorities
- Value accuracy, accountability, and continuous improvement
Compensation & Benefits
- $30.00–$32.00 per hour, depending on experience
- Comprehensive benefits package
- Health, dental, and vision insurance
- Paid time off and paid holidays
- 401(k) with employer match
- Employee discounts on cosmetic and wellness services
- Supportive, collaborative, team-oriented work environment
Why Join Neaman Plastic Surgery?
This isn't a role where you'll simply enter codes or submit claims all day.
You'll have the opportunity to use your coding and revenue cycle knowledge to solve problems, prevent denials, improve reimbursement, and help strengthen billing processes across a growing organization.
We value people who ask questions, identify opportunities for improvement, take ownership of their work, and want to continue developing professionally.
If you're an experienced medical billing and coding professional looking for a position where your expertise will be valued and your work will have a meaningful impact, we'd love to meet you.
Pay: $30.00 - $32.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Employee discount
- Health insurance
- Paid time off
- Vision insurance
Experience:
- Medical Billing: 2 years (Required)
- Medical Coding: 2 years (Required)
- Revenue cycle management: 2 years (Required)
- CPT, ICD-10CM, HCPCS: 2 years (Required)
Work Location: In person
