Cardiology Billing & Coding Specialist: Accurate Claims

Kaweah Delta Health Care District; Visalia (CA); Vor Ort; USD 31.000 - 46.000; Vollzeit

Zusammenfassung

Kaweah Health in Visalia, California, seeks a Cardiovascular Services Billing/Coding Specialist to ensure accurate and timely billing for outpatient cardiology services. You will work with providers, HIM, Coding, and patients to submit proper claims according to payer requirements.

Ideal candidates have 1+ year billing experience, knowledge of CPT/HCPCS/ICD-10-CM, and familiarity with cardiology procedures.

Qualifikationen

• Preferred: High School Diploma.
• At least 1 year of medical billing experience.
• Outpatient physician or specialty-practice billing experience.
• Cardiology billing experience.

Aufgaben

• Review patient accounts, insurance information, and documentation for charge accuracy.
• Verify insurance eligibility and benefits as needed.
• Review charges for accurate CPT, HCPCS, ICD-10-CM, and modifiers.
• Follow up on rejected, denied, and unpaid claims and make corrections.
• Research and resolve billing discrepancies, claim edits, and denials.
• Assist with prior authorization and referral-related billing issues.
• Communicate professionally with patients about billing questions and balances.
• Maintain confidential patient and financial information.
• Collaborate with coding/clinical staff to resolve documentation or coding issues.
• Stay current with payer policies and changes affecting cardiology services.
• Maintain HIPAA compliance and healthcare regulations.

Kenntnisse

Medical terminology

CPT/HCPCS/ICD-10-CM

Payer policies

Attention to detail

Communication skills

Confidentiality

Ausbildung

High School Diploma

Jobbeschreibung

Kaweah Health in Visalia, California, seeks a Cardiovascular Services Billing/Coding Specialist to ensure accurate and timely billing for outpatient cardiology services. You will work with providers, HIM, Coding, and patients to submit proper claims according to payer requirements.

Ideal candidates have 1+ year billing experience, knowledge of CPT/HCPCS/ICD-10-CM, and familiarity with cardiology procedures.