Job Description:
• Assign appropriate CPT, ICD-10-CM, and HCPCS codes for outpatient cardiology procedures, including diagnostic tests, invasive procedures, and interventional cardiology cases performed in an ASC setting
• Validate code selection against operative reports, procedure notes, diagnostic results, and physician documentation
• Apply modifiers accurately to reflect the ASC environment and ensure correct billing
• Ensure coding practices align with CMS guidelines, NCCI edits, payer-specific policies, and ASC billing rules
• Identify and address documentation gaps by querying physicians for clarification when necessary
• Participate in regular coding audits and implement corrective actions to maintain accuracy benchmarks (e.g., 95% or higher)
• Work closely with physicians, nurses, and administrative staff to resolve coding-related issues
• Provide feedback and education to clinical staff on documentation improvement for cardiology-specific services
• Support the billing department with claims-related coding inquiries and appeals
• Maintain up-to-date knowledge of coding guidelines, cardiovascular procedures, and ASC-specific regulations
• Participate in continuing education and attend training sessions as required to retain certification(s)
Requirements:
• High school diploma or equivalent required; Associate’s degree in Health Information Management or related field preferred
• Certification required: CPC (Certified Professional Coder), COC (Certified Outpatient Coder), or CCS-P (Certified Coding Specialist – Physician-based)
• Specialty certification in cardiology coding (e.g., CCC – Certified Cardiology Coder, CIRCC-Certified Interventional Radiology Cardiovascular Coder) preferred
• Minimum of 2–3 years of outpatient coding experience, with at least 1 year focused on cardiology or cardiovascular procedures
• Familiarity with ASC billing rules and payer guidelines for outpatient surgical centers
• Strong knowledge of cardiovascular anatomy, terminology, and procedural techniques
• Proficient in CPT, ICD-10-CM, and HCPCS coding systems
• Strong attention to detail with high accuracy rates
• Ability to interpret complex operative and procedural reports
• Excellent communication skills for physician interaction and documentation clarification
• Proficient with EMR/EHR systems and coding software applications.
Benefits:
• Employer sponsored Major Medical
• Employer sponsored Dental
• Employer sponsored Vision
• Accidental Death and Disability insurance
• Short term disability
• 4.5% 401K matching
• Flexible spending account
• Generous paid time off