Job Description

POSITION SUMMARY

This role plays a vital part in maintaining the integrity of our revenue cycle by verifying documentation accuracy and reducing denial occurrences through auditing and accurate coding. The employee will have strong analytical skills, a deep understanding of medical terminology and coding standards, and a commitment to ensuring billing accuracy and compliance with regulatory guidelines.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Review and assign appropriate CPT, ICD-10-CM, and HCPCS codes based on physician charges, accessing hospital portals to verify that all billing codes accurately reflect documented patient services and procedures.
• Ensure that patient record documentation meets coding and compliance requirements.
• Collaborate with the Denials Department to identify and analyze recurring patterns of omissions, errors, or documentation discrepancies. Communicate findings to Administration to elicit corrective actions and reduce future issues.
• Code hospital consults, follow ups, and diagnostic testing.
• Code diagnostic testing performed within the clinic as required.
• Conduct daily reviews to detect and correct billing errors or omissions.
• Audit charts for completeness and accuracy, partnering with the Medical Records Department to ensure documentation integrity across clinic notes, hospital records, and diagnostic reports.
• Verify the presence and accuracy of all required details, such as diagnoses, indications, and physician signatures.
• Identify cloned notes or other documentation irregularities to maintain compliance and uphold documentation standards.

EDUCATION AND/OR EXPERIENCE

• High School Diploma or equivalent required
• Interventional and general cardiology experience required
• 3-5 years of related experience in the field of medical billing and coding required
• Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent preferred
• Medical Billing and Coding certificate or relevant coursework preferred
• Strong knowledge of coding guidelines, payer policies, and documentation standards

Why Join Us?

Benefits Include:

• 401(k) retirement plan
• Medical insurance
• Dental insurance
• Vision insurance
• Health Savings Account (HSA)
• Life insurance
• Paid Time Off (PTO)
• Uniform allowance
• Additional supplemental plan available as well!

Position Type: Full-Time

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