Cardiovascular Services Billing/Coding Specialist

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 is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care.

It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do - in the health of our patients, our loved ones, and our community.

Benefits Eligible

Not Benefits Eligible

Work Shift
Day - 8 Hour or less Shift (United States of America)

Department
7088 KH Cardiology Center - Visalia

The Cardiovascular Services Billing/Coding Specialist is responsible for accurate and timely billing, claims corrections, charge posting, and account follow-up for outpatient cardiology services. This position works closely with providers, clinical staff, HIM, Coding, and patients to ensure claims are properly coded and submitted in accordance with payer requirements and applicable regulations.

QUALIFICATIONS

EducationPreferred: High School Diploma

Experience

• Preferred: A minimum of one year of medical billing experience
• Outpatient physician or specialty-practice billing experience
• Cardiology billing experience

Knowledge/Skills/Abilities

• Knowledge of medical terminology, CPT, HCPCS, and ICD-10-CM coding.
• Familiarity with Medicare, Medicaid, commercial insurance, and other third-party payers.
• Excellent attention to detail and organizational skills.
• Strong written and verbal communication skills.
• Ability to maintain patient confidentiality and handle sensitive financial information.
• Familiarity with procedures such as and but not limited:
  Office visits and consultations
  EKG/ECG services
  Echocardiograms
  Stress testing
  Holter and ambulatory cardiac monitoring
  Pacemaker and ICD-related services
  Vascular and cardiovascular diagnostic testing
  Cardiac imaging and other cardiology procedures

JOB RESPONSIBILITIES

• 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 modifier usage.
• Follow up on rejected, denied, and unpaid claims and make necessary corrections.
• Research and resolve billing discrepancies, claim edits, and insurance denials.
• Assist with prior authorization and referral-related billing issues when applicable.
• Communicate professionally with patients regarding billing questions and account balances.
• Maintain accurate and confidential patient and financial information.
• Work with coding and clinical staff to resolve documentation or coding-related billing issues.
• Stay current with payer policies, billing requirements, and changes affecting cardiology services.
• Maintain compliance with HIPAA and applicable federal and state healthcare regulations.

Pay Range
$22.48 -$33.72

If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.