Pro Fee Coder – Cardiology

This is a fully remote position, open to applicants in United States.

📋 Description

• Examine clinical documentation to assign and organize diagnostic and procedural codes for designated patient categories, ensuring adherence to hospital or physician data retrieval requirements for billing and reimbursement.

• Confirm APC calculations to accurately represent the diagnoses and procedures recorded in the clinical documentation for hospitals.

• Conduct documentation reviews and assessments to ensure precise abstraction of clinical data that satisfies regulatory and compliance standards.

• Collaborate with client staff and providers as necessary.

• Select and arrange ICD-10 and/or CPT/HCPCS codes for assigned patient types, including but not limited to: Ancillary (Diagnostic)/Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee; or Evaluation and Management.

• Analyze facility records to verify that APC assignments and/or Evaluation and Management codes accurately correspond to the diagnoses and procedures documented in the clinical records.

• Extract clinical data from records following documentation review to confirm its sufficiency and relevance in supporting diagnoses, procedures, and discharge dispositions.

• Uphold strict patient and provider confidentiality in accordance with all HIPAA guidelines.

• Engage in client and Savista staff meetings, training sessions, and conference calls as requested and/or required.

• Stay updated on ICD-10 and/or CPT/HCPCS coding guidelines, government regulations, protocols, and third-party requirements pertaining to coding and/or billing.

• Participate in continuing education opportunities to enhance knowledge and skills while maintaining current credentials.

⛳️ Requirements

• Candidates are required to successfully complete a pre-employment skills assessment.

• Required: An active AHIMA (American Health Information Association) credential such as RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credential including COC (formerly CPC-H), CCS-P, CPC, or a related specialty credential.

• A minimum of two years of recent and relevant hands-on coding experience is necessary.

• Strong knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, and familiarity with ICD-10 and CPT/HCPCS code sets.

• Ability to consistently achieve a coding accuracy rate of 95% while adhering to client-specific and/or Savista production and quality standards.

• Proficient in computer skills, including MS Office, with the ability to enter data, sort, and filter Excel files (Outlook, Word, Excel).

• Must demonstrate excellent interpersonal and problem-solving abilities with all levels of internal and external customers.

• Preferred Skills: Recent and relevant experience in a high-volume production coding environment is highly desirable.

• An Associate's degree in Health Information Management or a healthcare-related field, or a combination of equivalent education and experience.

• Experience with RCx, Cerner, and Nextgen is a plus.

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Comprehensive health, dental, and vision insurance plans.

• Retirement savings plan with employer matching contributions.

• Opportunities for professional development and continuing education.

• Flexible work schedules and remote work options.