Job Title: Senior Cardiology & Interventional Radiology Coder
Location: REMOTE
Start Date: ASAP
Position Overview:
This position evaluates medical records and assigns appropriate clinical procedure/anesthesia charges and supply charges in accordance with nationally recognized coding guidelines for technical Cardiology and Interventional Radiology services.
Job Responsibilities:
1. Analyzes medical information from medical records. Accurately charge procedural and supply information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or inadequate record information and to determine appropriate diagnostic and procedure codes. Provides thorough, timely and accurate assignments of charges – using Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS) codes, Ambulatory Payment Classification (APC), and reconciliation of charges.
2. Seeks out missing information and creates complete records, including items such as assigning procedure codes/charges, anesthesia codes/charges, supply codes/charges, and date of surgery. Refers inconsistent patient treatment information/documentation to supervisor or individual department for clarification/additional information for accurate code assignment.
3. Provides quality assurance for medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards.
4. Work all assigned billing edits related to cardiac cath and interventional radiology technical claims within nThrive claims and Charge Capture Audit (CCA).
5. As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes.
6. Works independently under regular supervision. Uses specialized knowledge for accurate assignment of CPT/HCPCS codes according to national guidelines. May seek guidance for correct interpretation of coding guidelines and LCDs (Local Coverage Determinations).
MUST-HAVE Requirements:
- Cross-functioning and able to work with different teams
- 3+ years of Facility coding experience
- 1+ year in Radiology Cardiovascular coding
- CCS, CPC, or CIRCC coding certification
Job Type: Full-time
Pay: $25.00 - $33.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
Work setting:
Experience:
- ICD-10: 3 years (Required)
- HCPCS: 3 years (Required)
- cardiology coding: 1 year (Required)
- Interventional radiology coding: 1 year (Required)
- hospital/facility coding: 3 years (Required)
License/Certification:
- CPC or CCS or CIRCC (Required)
Work Location: Remote