Medical Coder III, Cardiology Experience Required

Job Description:

• Medical Coders are responsible for review and submission of 64 encounters per day or 8 per hour related to evaluation & management, procedures, testing, monitoring and hospital services daily.
• Must be comfortable with discussing coding and guidelines with providers in a collaborative and professional manner.
• This position will assist with work que evaluation and update of pending encounter status and service lines.
• Will work with leadership on projects for coding as needed to assist with workflows.
• Medical coding of Cardiology evaluation and management, Non-Invasive procedures, Remote and Pacer Monitoring, Cardiac Cath and Electrophysiology billing.
• Coder will be required to be able to charge extract, correctly apply diagnosis, correctly apply modifiers, understand NCCI edits and other regulatory requirements.
• Coder will be in regular communication via email and messaging with the clinic staff to ensure compliant and appropriate coding.
• Maintains coding knowledge and billing regulations associated with CPT and ICD-10 codes, and modifiers.
• Review assigned CPT, HCPCS and ICD-10 diagnosis codes for accuracy prior to submission.
• Consults with Coding Managers on any edit discrepancies.
• Demonstrated ability to work independently with minimal supervision.
• Complete assigned work functions utilizing appropriate resources.
• Participate in client and staff meetings, trainings, and conference calls as requested and/or required.
• Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials.
• Must be able to work denials for insurance follow-up and work collaboratively with Accounts Receivable Team.

Requirements:

• 3-5+ years professional coding experience in Cardiology required.
• Proficient in medical terminology, anatomy, physiology, pharmacology and pathophysiology.
• Active AAPC (American Academy of Professional Coders) COC, CPC or Active AHIMA (American Health Information Management Association) CCS at the time of hire.
• Extreme attention to detail with the ability to prioritize assignments to meet deadlines.
• Strong knowledge of EPIC, Cerner, Microsoft Office.
• PowerPoint and TEAMS.
• Must display excellent interpersonal and problem-solving skills with all levels of internal and external customers.
• Proficient in teaching facility guidelines.
• Recent and relevant experience in an active coding production environment strongly preferred.
• Maintains 95% coding accuracy rate and client's productivity standards.
• Ability to elaborate on findings and guidelines with providers on issues identified within daily workflow.

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