Medasource · 1 day ago
Pro Fee Coder - Cardiology
Medasource is seeking a Pro Fee Coder specializing in Cardiology to review clinical documentation and assign diagnostic and procedural codes for various cardiology services. The role involves ensuring accurate coding for cardiac evaluations and procedures, collaborating with providers to maintain compliance, and staying updated on coding guidelines.
Responsibilities
Select and sequence ICD-10 and/or CPT/HCPCS codes for cardiology professional fee services, including but not limited to:
Cardiac catheterizations (left/right heart caths)
Angioplasty and stent placements
Pacemaker and ICD implantations and checks
Stress tests, EKGs, echocardiograms, Holter monitoring
Electrophysiology studies and ablations
Office and outpatient cardiology consultations and follow-up visits
Review provider documentation to ensure accurate procedural coding, appropriate modifiers, and E/M level selection that reflect the intensity and complexity of the visit
Validate documentation to support medical necessity and payer compliance requirements
Collaborate with providers and staff for query resolution and documentation improvement
Maintain strict patient and provider confidentiality in compliance with HIPAA guidelines
Participate in Savista and client meetings, trainings, and ongoing performance evaluations as required
Maintain current working knowledge of ICD-10, CPT/HCPCS, NCCI edits, and payer-specific coding guidelines specific to cardiology and interventional procedures
Stay current on CMS, AMA, and specialty society coding updates relevant to cardiology
Qualification
Required
Active AHIMA credential (RHIA, RHIT, CCS, CCA) or AAPC credential (CPC, COC, CCS-P, or related specialty)
Minimum of two years of recent and relevant coding experience in cardiology, cardiovascular medicine, or interventional cardiology
Strong knowledge of procedural coding, modifiers, and bundling rules related to diagnostic and therapeutic cardiac procedures
Solid understanding of anatomy, physiology, and pathophysiology of the cardiovascular system
Ability to code with 95% accuracy while maintaining production and compliance standards
Proficiency in MS Office (Outlook, Word, Excel) and experience using EHR and coding applications
Preferred
Previous experience coding for invasive and non-invasive cardiology or in an acute care or outpatient procedural setting strongly preferred
Associate degree in Health Information Management (HIM) or a related field, or equivalent education and experience
Familiarity with Cerner, RCX, or Nextgen systems (a plus)
Understanding of documentation for split/shared visits and teaching physician guidelines
Experience reviewing complex cardiovascular procedures for multiple providers or service lines