Coding Quality Specialist 3-Cardiology

About the role

If you are an experienced medical coder who thrives in a complex academic medicine environment, this is an opportunity to make a meaningful impact behind the scenes of world-class patient care. Your expertise will help support accurate reimbursement, documentation integrity, regulatory compliance, and the financial health of a nationally recognized academic health system.

Responsibilities

• Perform professional fee coding and quality review functions for complex physician services within an academic medical center.
• Work with a high degree of independence, analyzing documentation, applying coding regulations, and serving as a trusted resource for coding quality and compliance.
• Review and code inpatient and specialty physician services across cardiology and related procedural areas.
• Assign accurate CPT, ICD-10-CM, and modifier coding while maintaining compliance with payer and regulatory requirements.
• Coding complex cardiac, thoracic, vascular, and catheter-based procedures, diagnostic testing, and associated E/M services.
• Identify documentation improvement opportunities and collaborate with providers to support coding specificity and accuracy.
• Perform coding quality reviews, audits, and educational activities to improve coding performance.
• Interpret and apply coding guidelines related to: NCCI edits, modifiers, split/shared services, resident teaching physician documentation, APP billing requirements, medical necessity and diagnostic specificity.
• Assist and mentor lower-level coding staff while serving as a subject matter resource.
• Manage complex coding scenarios that require analysis, critical thinking, and independent problem-solving.
• Support compliance initiatives, documentation integrity efforts, and revenue cycle optimization.

Requirements

• Education: High School Diploma or GED required.
• Experience: 5+ years of relevant coding experience required. Cardiac, Thoracic, and Vascular Surgery E&M and procedure experience preferred.
• Licensure: Certified Professional Coder (CPC) required.

Qualifications

• Experience with complex teaching physician documentation, resident involvement, advanced procedural services, and evolving coding regulations.
• Exposure to highly specialized and high-acuity patient populations that expand and strengthen your coding expertise.
• Collaborative environment focused on continuous improvement, innovation, quality, and professional growth.
• Opportunities to share expertise, support education initiatives, and influence coding quality across multiple specialties.
• Experience with complex cases, continuous learning, regulatory interpretation, and collaboration with highly specialized clinical teams.

Skills

• Advanced coding expertise in cardiology services, cardiac, thoracic and vascular surgical procedures, catheter-based procedures, diagnostic testing, and evaluation & management services.
• Strong professional fee coding experience.
• Ability to interpret and apply coding guidelines related to: NCCI edits, modifiers, split/shared services, resident teaching physician documentation, APP billing requirements, medical necessity and diagnostic specificity.
• Ability to manage complex coding scenarios that require analysis, critical thinking, and independent problem-solving.
• Excellent communication and collaboration skills.

Benefits

• Comprehensive Benefits Package: Medical, Dental, and Vision Insurance, Paid Time Off, Long-term and Short-term Disability, Retirement Savings, Health Saving Plans, and Flexible Spending Accounts.
• Certification and education support.
• Generous Paid Time Off.

Pay

The pay range for this role is $26.00 - $40.57 hourly.

Schedule

This is a remote role.