Medical Coder (2097)

US Heart and Vascular; Franklin (TN); On-site; USD 60,000 - 90,000; Full time

Job summary

US Heart and Vascular is seeking a Medical Coder to join Houston Cardiovascular Associates in Houston, TX. The role focuses on reviewing documentation to validate, assign, and sequence CPT/HCPCS, ICD-10CM, and modifiers for professional encounters.

The coder handles complex surgical coding in inpatient and outpatient settings, may include E/M encounters and other diagnostic procedures, and contributes to compliant revenue cycle operations.

Qualifications

• Experience coding in CPT/ICD-10-CM with knowledge of coding guidelines and payer policies.
• Proficient in interpreting medical records and assigning accurate codes.
• Familiar with regulatory requirements and revenue cycle processes.

Responsibilities

• Reviews encounter promptly and resolves coding-related edits.
• Assigns and sequences CPT, ICD-10-CM, and HCPCS codes/modifiers per guidelines.
• Generates physician queries following established procedures.
• Provides feedback and education as required.
• Ensures adherence to USHV coding guidelines while coding and resolving edits.
• Performs charge entry for professional services and abstracts billing information.
• Performs charge reconciliation via logs and reports as applicable.
• Meets coding quality and productivity standards per policy.
• Completes required education and maintains CE hours.

Skills

Analytical skills

ICD-10-CM/CPT knowledge

Regulatory knowledge

Data interpretation

Spreadsheet proficiency

Education

High School Diploma/GED

RHIA/RHIT/CCS/CCS-P/CPC/CCC within 12 months

Tools

Microsoft Office

EMR platforms

Job description

Medical Coder (2097)

HCVA - Museo 8th Floor Main - Houston, TX 77004

Overview

Position Type Full Time

Education Level High School Diploma/GED

Category Other Positions

Description

US Heart and Vascular is in need of a Medical Coder to join our team at Houston Cardiovascular Associates in Houston, TX

Position Summary

The Professional Fee Medical Coder, Level 3 reviews medical documentation that physicians or other healthcare professionals complete to validate, assign, and sequence CPT/HCPCS, ICD-10CM, and modifiers for clinic and hospital-based professional encounters. The Coder applies coding conventions per official coding and regulatory guidelines, third-party payer policies, and departmental procedures. This role is responsible for complex surgical coding in the inpatient and outpatient settings. May also be assigned E/M encounters, ancillary diagnostic procedures, and other inpatient and outpatient visits.

Responsibilities:

• Reviews encounter in a timely manner and resolves all coding-related edits.
• Reviews medical records and accurately assigns and sequences CPT, ICD-10CM, and HCPCS codes/modifiers, ensuring compliance with all applicable guidelines.
• Generates physician queries following established procedures.
• Provides feedback and education as required.
• Confirms that all applicable USHV and Coding Guidelines are followed while coding and resolving edits.
• Performs charge entry of professional services, including but not limited to non-invasive tests and hospital or office-based visits.
• Abstracts information needed for billing.
• Performs charge reconciliation via logs, visit schedules, and other reports when applicable to the department.
• Meets the required coding quality and productivity expectations per department policy and procedures.
• Completes all education assigned by USHV leadership and compliance.
• Maintains required continued education hours relevant to professional credentials
• Stays current with all federal, state, coding, and departmental guidelines and procedures.
• Performs other duties as assigned.

Requirements:

• Analytical skills, ability to interpret data and maintain spreadsheets
• Knowledge of ICD-10CM and CPT coding conventions
• High-level understanding of all federal/governmental regulations, coding guidelines, and revenue cycle policies and procedures
• Proficiency in Microsoft Office suite and expert knowledge of multiple EMR platforms
• High School Diploma or equivalent required
• 3 years of related experience required
• 2 years of experience coding complex procedures preferred
• May substitute required experience with equivalent years beyond the minimum education requirement.
• One or more of the following credentials are required within 12 months of employment:
  • Registered Health Information Administrator (RHIA),
  • Registered Health Information Technician (RHIT),
  • Certified Coding Specialist (CCS),
  • Certified Coding Specialist-Physician-based (CCS-P),
  • Certified Professional Coder (CPC)
  • Certified Cardiology Coder (CCC)

Houston, TX: Houston is a diverse city with a booming job market in energy, healthcare, and tech. It has no state income tax, an affordable cost of living, and world-class dining and entertainment. Green spaces, museums, and pro sports teams add to its appeal. Whether for career growth or culture, Houston has it all.