Cardiology Coding Specialist
Confido Health
full-time
Posted on:
Location Type: Remote
Location: United States
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About the role
- Under general direction, this position will be responsible for improving charge capture accuracy through workflow assessments coding reviews process improvement collaboration and reporting.
- The Cardiology Coding Specialist works collaboratively with leadership to assist in development project management and implementation of process enhancements or corporation initiatives to enhance charge capture accuracy.
- In addition, this role monitors and analyzes coding performance at the section and business unit levels.
- The primary role of this position is to support education, documentation principals, clean claims, and denial prevention.
Requirements
- Review charts and capture all reportable services.
- Coordinate with other coding staff to ensure all reportable services are captured and assigned to appropriate physician or ARNP.
- Assign all appropriate ICD codes, CPT codes, and modifiers per ICD, CPT, and Medicare or commercial carrier published guidelines.
- Enter charges, review WQs to address edits/denials.
- Review work queues in EMR and resolve coding issues for professional services for both hospital and clinic places of service.
- Reconcile charges monthly to ensure capture of all reportable services.
- Work with business office to resolve hospital billing questions/coding denials or concerns.
- Assist employees and physicians in providing coding guidance.
- Pull audit reports and back up documentation for internal audits.
- Comply with all legal requirements regarding coding procedures and practices.
- Conduct audits and coding reviews to ensure all documentation is precise and accurate.
- Assign and/or review the sequence of all CPT and ICD 10 codes for services rendered.
- Collaborate with AR teams to ensure all claims are completed and processed in a timely manner.
- Support the team with applying expertise and knowledge as it relates to claim denials.
- Aid in submitting appeals with various payers about coding errors and disputes.
- Submit statistical data for analysis and research by other departments.
- Ability to identify PSI triggers or have working knowledge of PSI triggers which includes identifying and assigning co-morbidities and complications.
- Ability to assign the appropriate DRG, discharge disposition code and principal DX codes.
Benefits
- CPC or CCS coding credentials required
- Cardiology experience preferred
- EMR, eCW, Centricity, Epic, Encoder Pro or 3M experience highly desired
- Microsoft Office Skills: Excel – Must have the ability to create and manage simple spreadsheets.
- Word – Must be able to compose business correspondence.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD codesCPT codesmodifierscoding reviewscharge captureauditsdocumentationclaims processingDRG assignmentdischarge disposition codes
Soft Skills
collaborationcommunicationproblem-solvingattention to detailanalytical skillsproject managementleadershipeducation supportguidanceprocess improvement