Medical Coder
About the Company
CardioOne partners with independent cardiologists to provide innovative solutions that improve patient outcomes and reduce costs. Our platform helps our physician partners thrive in today’s fee-for-service environment and prepare for success in value-based care. In February 2024, we partnered with WindRose Health Investors as well as top physician services and payor executives to grow our team and invest in our next phase of growth.
CardioOne offers a magnificent work environment, good working conditions, and competitive pay. We offer medical, dental, vision, and a 401k plan with a match to benefit eligible employees. We offer PTO (Personal Time Off) and sick time to full-time employees. We take pride in creating a culture of employee engagement that translates into an exemplary patient experience. Join us in our mission to positively impact US cardiology.
About the Job
CardioOne is seeking a well-organized and detail-oriented Certified Medical Coder to join our ever-growing team. The ideal candidate has experience with coding and the ability to work with minimal supervision. You will also have an aptitude for solving programming problems. You will work remotely and report directly to the SVP of Operations.
What you’ll do:
- Perform initial charge review to determine appropriate ICD-10 and CPT codes to be used to report physician services to third-party payers.
- Interpret progress notes, operative reports, discharge summaries, and charge documents to determine services provided and accurately assign CPT and ICD-10 coding to these services.
- Identify all billable procedures and services; ensuring all appropriate ICD, CPT, HCPCS code(s), and quantities are captured.
- Responsible for reviewing patient logs and other reports of clinical activity to ensure billing is captured for all patients.
- Review and resolve coding edits related to procedures and services charged.
- Perform weekly/monthly audits to ensure all services that can be billed are captured and coded for billing.
- Review all physician documentation to ensure compliance with third-party and regulatory guidelines.
- Maintain a reasonable coding turnaround times for procedure accounts based on date of service.
- Responsible for ensuring the batch processes for all coded charges.
- Identifies and escalates leadership impacts to timely coding, charge capture, and avoidable delays for billing/reimbursement.
- Evaluate medical records to identify documentation deficiencies and provides feedback to the immediate supervisor.
- Queries immediate supervisor and or physicians as directed by supervisor/manager, per established policy and procedure when documentation is not clear or conflicting.
- Provide immediate supervisor with updates to inform clinicians.
- Keep abreast of coding guidelines by self-study, assigned education, coding meeting attendance, or related in-services. Participates in internal and external quality review meetings and audits.
- Meet and/or exceeds the established quality standard of 95% accuracy rate or better while meeting and/or exceeding established production standards.
- Work closely with Accounts Receivables and Surgery Pre-cert/authorization team members to answer all inquiries regarding coding and billing for physicians’ services.
- Participate in administrative staff meetings and attend other meetings and seminars as needed for the current role.
- Gather and interpret clinical data.
- Handles special projects as requested.
What you’ll need:
- Certified Professional Coder (CPC) certification is required.
- Minimum 3 years inpatient coding experience, cardiology setting is preferred.
- ICD-10-CM/PCS proficient.
- Experience coding cardiovascular procedures in office.
- Good working knowledge of medical terminology required.
- Proficient computer skills.
- Excellent communication skills, both verbal and written.
- Strong people skills.
- Outstanding organizational skills.
Work Location:
Preference given to those who work in Central or Eastern Time Zone.
- Remote: Colorado (preferred), Delaware, Florida, New Hampshire, New Jersey, Pennsylvania, Texas.
Additional Information
Full-time base salary range of $47,000 to $67,000 plus medical, dental, and vision benefits.
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