Medical Coder

Citrus Cardiology Consultants PLLC; Inverness (MT); On-site; USD 52,000 - 78,000; Full time

Benefits offered by this job

401(k) retirement plan

Medical insurance

Dental insurance

Vision insurance

Health Savings Account (HSA)

Life insurance

Paid Time Off (PTO)

Uniform allowance

Supplemental plan available

Job summary

Citrus Cardiology Consultants PLLC in Montana is seeking a detail‑oriented Medical Billing and Coding Auditor to verify documentation accuracy and reduce denials through auditing and proper coding. You will review CPT, ICD-10-CM, and HCPCS codes, ensure chart documentation meets coding and compliance standards, and collaborate with the Denials Department to identify patterns.

The role requires 3–5 years of medical billing/coding experience in interventional and general cardiology, with CPC/CCS

Qualifications

• Must have strong knowledge of coding guidelines, payer policies, and documentation standards.
• 3–5 years of related experience in medical billing and coding.
• Interventional and general cardiology experience is required.

Responsibilities

• Review and assign CPT, ICD-10-CM, and HCPCS codes based on physician charges and verified documentation.
• Ensure patient records meet coding and compliance requirements.
• Collaborate with the Denials Department to identify recurrent omissions and errors.
• Communicate findings to Administration to drive corrective actions and reduce future issues.
• Code hospital consults, follow ups, and diagnostic testing.
• Audit charts for completeness and accuracy with Medical Records.

Skills

Analytical skills

Medical terminology knowledge

Education

High School Diploma or equivalent

CPC/CCS certification preferred

Medical Billing and Coding certificate or relevant coursework preferred

Job description

Job DescriptionJob Description

POSITION SUMMARY

This role plays a vital part in maintaining the integrity of our revenue cycle by verifying documentation accuracy and reducing denial occurrences through auditing and accurate coding. The employee will have strong analytical skills, a deep understanding of medical terminology and coding standards, and a commitment to ensuring billing accuracy and compliance with regulatory guidelines.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Review and assign appropriate CPT, ICD-10-CM, and HCPCS codes based on physician charges, accessing hospital portals to verify that all billing codes accurately reflect documented patient services and procedures.
• Ensure that patient record documentation meets coding and compliance requirements.
• Collaborate with the Denials Department to identify and analyze recurring patterns of omissions, errors, or documentation discrepancies.
• Communicate findings to Administration to elicit corrective actions and reduce future issues.
• Code hospital consults, follow ups, and diagnostic testing.
• Code diagnostic testing performed within the clinic as required.
• Conduct daily reviews to detect and correct billing errors or omissions.
• Audit charts for completeness and accuracy, partnering with the Medical Records Department to ensure documentation integrity across clinic notes, hospital records, and diagnostic reports.
• Verify the presence and accuracy of all required details, such as diagnoses, indications, and physician signatures.
• Identify cloned notes or other documentation irregularities to maintain compliance and uphold documentation standards.

EDUCATION AND/OR EXPERIENCE

• High School Diploma or equivalent required
• Interventional and general cardiology experience required
• 3-5 years of related experience in the field of medical billing and coding required
• Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent preferred
• Medical Billing and Coding certificate or relevant coursework preferred
• Strong knowledge of coding guidelines, payer policies, and documentation standards

Why Join Us?

• Benefits Include:
• 401(k) retirement plan
• Medical insurance
• Dental insurance
• Vision insurance
• Health Savings Account (HSA)
• Life insurance
• Paid Time Off (PTO)
• Uniform allowance
• Additional supplemental plan available as well!

Position Type: Full-Time