EXCELSIOR ORTHOPAEDICS GROUP

Role Description The Patient Contact Center answers and routes all incoming calls for the company. You will be responsible for answering high-volume incoming calls to service a variety of patient requests, such as scheduling appointments and updating medical and demographic information; additionally, perform outbound calls to patients as needed for rescheduling. The position may require occasional early evenings and Saturdays. Duties and Responsibilities - Answer all incoming calls and expedite as quickly and efficiently as possible. - Create an Exceptional Experience for all patients. - Speak with all new and established patients and schedule office appointments via phone. - Using the telephone and computerized appointment scheduling program, schedule all patient appointments according to physician-specified protocols. - Inform patients of the information needed by the registration team; provide patients several scheduling options. - Retrieve messages from the voice mail system from patients who wish to schedule appointments. - Prospectively inform all new and established patients about the practice's payment at the time of service policy, and ensure understanding to arrive with referral forms, x-rays, etc. - Use electronic medical records to document patient charts and relay patient questions/concerns to the appropriate provider/person. - Refer all new patients to the patient portal when possible and mail new patient packet as needed. - Re-schedule patients as needed. - Maintain patient confidentiality. - Attend team efficiency meetings with supported providers and their teams. - Communicate with providers as needed. - Complete all other duties assigned by Team Lead/Supervisor, Practice Manager, or Administrator. Qualifications - Associates degree preferred; HS diploma or GED required. - 2+ years in a customer service role; 1+ years medical office experience preferred. - EMR experience preferred. Requirements - Position requires manual and finger dexterity and hand-eye coordination. - Involves standing, sitting, and walking. - Team member will occasionally be asked to lift and carry items weighing up to 10 pounds; normal visual acuity and hearing are required. Benefits - 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.

Role Description The Coder is responsible for reviewing, interpreting, and assigning appropriate CPT, ICD-10, and HCPCS codes, and ensuring compliance with federal regulations and payer policies. This position is responsible for reviewing operative reports for all procedures performed by Excelsior Orthopaedic Physicians for completeness and to abstract and code clinical data, using standard classification systems. Duties and Responsibilities - Demonstrate our core values of being patient centered, team focused, service driven, accountable, and innovative every day. - Review and audit physician documentation and surgical reports to accurately assign diagnosis and procedure codes for orthopedic services, including office visits, imaging, physical therapy, and surgical procedures. - Ensuring coding practice meets federal and state guidelines, payer-specific requirements, and company policies. - Communicate with providers and clinical staff to ensure accurate documentation to produce accurate coding. - Monitor coding edits, denials, and rejections; assist in appeals and corrections as needed. - Collaborate with the billing team to resolve coding and reimbursement issues. - Stay current with coding guidelines, orthopedic-specific regulations, and payer updates. - Accurately enter and itemize charge data into the billing system, ensuring completeness and adherence to internal policies. - Assist with verifying and applying correct CPT, ICD-10, and HCPCS codes based on provider documentation; escalate complex coding issues to certified coders when needed. - Prepare, process, and transmit insurance claims (electronic and paper) in accordance with payer requirements and deadlines. - Collect and verify all the information necessary to complete the billing process, including patient demographics, insurance coverage, and provider charge details. - Evolve in your role when performing supplemental responsibilities as assigned. Qualifications - Associates degree preferred; HS diploma or GED required. - Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent coding certification is required. - Proven experience (1+ years) as a Coder or in a similar role required. - Demonstrated ability and understanding of an electronic health record (EHR/EMR) and coding software is preferred. - Knowledge of orthopedic, physical therapy, or podiatry medical terminology is desirable. - Ability to work independently and collaboratively in a fast-paced, team-oriented environment. - Computer skills required with minimum proficiency in Microsoft Word, Excel, Outlook, and Teams. Requirements - 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 - Company-issued laptop for streamlined documentation. - Collaborative environment. - Opportunity to work fully remote after training. - Guaranteed 3% company contribution to your 401(k). - Discretionary profit-sharing contribution annually (after 1 year of service and meeting eligibility requirements).

Role Description We’re seeking a detail-oriented Coding Specialist to support our orthopedic and surgical services team. This role focuses on reviewing clinical documentation and assigning accurate procedure and diagnosis codes to support compliant billing and timely reimbursement. - Demonstrate our core values of being patient-centered, team-focused, service-driven, accountable, and innovative. - Review physician documentation, operative reports, and clinical records to assign appropriate diagnosis and procedure codes for orthopedic services, including office visits, imaging, physical therapy, and surgical procedures. - Ensure practices meet federal and state regulations, payer requirements, and internal policies. - Collaborate with providers and clinical staff to clarify documentation and support accuracy. - Monitor edits, denials, and rejections, and assist with corrections and follow-up as needed. - Partner with the billing team to help resolve discrepancies and support clean claim submission. - Stay current with coding guidelines, regulatory updates, and payer changes relevant to orthopedic services. - Accurately enter charge data and maintain complete, compliant documentation. - Assist with reviewing and assigning CPT, ICD-10, and HCPCS codes based on provider documentation. - Perform additional responsibilities as assigned. Qualifications - High school diploma or GED required; Associate degree preferred. - Active coding certification (such as CPC or CCS) required. - At least 1 year of experience in medical coding or a related role. - Familiarity with electronic health records (EHR/EMR) and coding systems preferred. - Knowledge of orthopedic, physical therapy, or podiatry terminology is a plus. - Ability to work both independently and collaboratively in a fast-paced environment. - Proficiency in Microsoft Office (Word, Excel, Outlook, Teams). Requirements - Frequent sitting and computer use for extended periods. - Occasional standing and walking. - Ability to lift and carry items up to 10 pounds. - Visual and manual dexterity required for data entry and review. Benefits 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. Company Description 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.

Job DetailsJob Location: EXC Remote Work - Amherst, NY 14226Position Type: Full TimeEducation Level: 4 Year DegreeSalary Range: $33.00 - $55.00 HourlyTravel Percentage: NoneJob Shift: Day**Must reside in the WNY region Job Summary Triage nurse is responsible for working with orthopaedic physicians and surgeons to provide telephonic nursing support to surgical and non-surgical patients. This individual will also respond to patient telephone calls and patient portal communications regarding treatment plan, medication refills, urgent concerns and overall assistance with plan of care. Additionally, this position maintains current accurate information for the physicians and mid-level providers in EMR (Medent). Duties and Responsibilities Demonstrate our Core Values of being Patient Centered, Team Focused, Service Driven, Accountable, and Innovative every day Obtain patient's complete medical history and physical data. Collaborate with multiple care teams having direct contact with physicians and physician assistants to determine appropriate course of action. Provide patient education, advise patients on post-op care and expectations. Respond to patient telephone calls and patient portal communications regarding treatment plans, medication refills, urgent concerns, overall assistance with plan of care, and facilitate response per physician protocol when required. Chart accurately, concisely, descriptively, and legibly indicating patients progress in Medent. Perform other duties as assigned. QualificationsRequirements and Qualifications Current NYS RN license. 3+ years of experience as a Registered Nurse, experience in orthopedics preferred. EMR experience required, Medent desirable. Excellent written and verbal communication skills required to effectively exchange information with patients, providers, and staff. Proficient in Microsoft Suite including Word, Excel, and Teams. Physical Demands Manual and finger dexterity and eye-hand coordination to operate 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. 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.