Coder III- Cardiology

About the role

Collects, reviews, retrieves and codes Evaluation & Management codes, and major procedures (surgical procedures, anesthesia reports, radiology reports/procedures) and other services for Medicine/Surgical practices, based on data from medical records and reports for quality assessment, audit and billing purposes.

Responsibilities

• Performs chart audits, reviewing for accuracy and compliance.
• Reviews operative reports and other documentation and assigns appropriate diagnosis (ICD-10), procedure codes ( CPT-4), and other services (HCPCS) for final billing.
• Research and process invoice corrections.
• Reviews and analyzes coding/billing procedures.
• Presents training and feedback concerning medical coding, compliance, and reimbursement to physicians/providers.
• Coordinates and implements reimbursement improvement activities with staff and providers.
• Meets WellSpan Coding Compliance Guidelines.
• Maintains job specific standards and expectations relative to productivity and quality.
• Prepares and maintains appropriate documentation as required.
• Maintains professional growth and development.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Qualifications

• Minimum Education: High School Diploma or GED
• Required Work Experience: 3 years Relevant experience.
• Required Licenses (any one of the following):
  • Certified Professional Coder Upon Hire Required
  • Certified Coding Specialist - Physician Based Upon Hire Required
  • Certified Medical Coder Upon Hire Required
  • Certified Outpatient Coder Upon Hire Required
  • Registered Health Information Technician Upon Hire Required
  • Certified Anesthesia and Pain Management Coder Upon Hire Required
  • Certified Cardiology Coder Upon Hire Required
  • Certified ENT Coder Upon Hire Required
  • Certified Hematology and Oncology Coder Upon Hire Required
  • Certified Interventional Radiology Cardiovascular Coder Upon Hire Required
  • Certified Pediatric Coder Upon Hire Required
  • Certified Rheumatology Coder Upon Hire Required
  • Certified Urology Coder Upon Hire Required
  • Radiology Certified Coder Upon Hire Required
  • Certified Cardiovascular and Thoracic Surgery Coder Upon Hire Required
  • Certified Gastroenterology Coder Upon Hire Required
  • Certified General Surgery Coder Upon Hire Required
  • Certified Professional Coder Dermatology Upon Hire