Revenue Cycle Coder​/Biller

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Regular Full-Time Atlanta, GA, US

4 days ago Requisition

Job Description

Job Title:Revenue Cycle Coder/Biller

Department:Ambulatory Surgery Center (ASC) CBO

Reports To:ASC Revenue Cycle Manager

FLSA Status:Non-Exempt

Approval Date:September 8, 2026

Summary

The Revenue Cycle Coder/Biller supports the coding, billing, reimbursement, and compliance functions of the Ambulatory Surgery Center (ASC) revenue cycle. This role reviews operative reports, assigns accurate diagnosis and procedure codes, captures technical and implant charges, submits clean claims, and supports claim correction and resolution.

As ASC coding transitions in-house, this position will help establish standardized coding processes, workflows, and quality controls while collaborating with physicians, Revenue Cycle, payers, and internal departments. The role will also support the evaluation and implementation of AI-assisted coding, charge capture, and denial management technologies while maintaining professional accountability for coding accuracy and compliance.

Essential Duties and Responsibilities

• Review complex operative reports and support clinical documentation to identify procedures, surgical approaches, diagnoses, secondary diagnoses, implants, and other services requiring coding and billing.
• Assign accurate ICD-10 diagnosis codes and CPT/HCPCS procedure codes based on operative documentation and applicable coding guidelines.
• Apply appropriate modifiers and other claim-specific coding requirements to support accurate reimbursement.
• Help establish in-house ASC coding processes, workflows, and documentation standards as the function transitions from an outside vendor.
• Participate in the evaluation, selection, and implementation of AI-assisted coding, charge capture, and denial management tools, contributing coding expertise to how they are configured and applied.
• Review, validate, and correct system-generated or AI-suggested codes, charges, and claim edits, applying independent professional judgment and retaining accountability for final code assignment.
• Help establish and document the review standards, exception handling, and quality checks that govern automated coding and charge capture as those tools are introduced.
• Identify and communicate error patterns in automated output, providing structured feedback to improve tool accuracy over time.
• Perform accurate and timely charge capture and billing for technical services provided by the Ambulatory Surgery Center.
• Review surgical implant logs and applicable invoices to calculate and enter implant charges accurately.
• Prepare, review, and submit clean claims to commercial payers, Medicare, Medicare Advantage plans, Personal Injury (PI), and other applicable payers.
• Review front-end claim rejections, clearinghouse edits, payer messages, and billing errors and take appropriate action to ensure timely claim submission.
• Correct and rebill claims within the practice management system and submit corrected claims through the clearinghouse as applicable.
• Independently assess claim edits, clearinghouse messages, billing discrepancies, and claim denials to determine appropriate resolution.
• Communicate with physicians and the Director of Coding to obtain clarification when operative documentation is vague, incomplete, or does not adequately support code assignment.
• Document the rationale for any change to a physician-submitted code and ensure changes are reviewed and consistent with established approval and separation-of-duties requirements.
• Review claim and coding documentation for completeness and accuracy prior to…