Medical Coder (2823)

US Heart and Vascular; Town of Texas (WI); Hybrid; USD 55,000 - 75,000; Full time

Job summary

US Heart and Vascular is hiring a Medical Coder to work at Houston Cardiovascular Associates. The Medical Coder reviews medical documentation and codes CPT/HCPCS and ICD-10CM for outpatient and inpatient encounters. Strong analytical skills and knowledge of coding guidelines are essential.

The role requires a high school diploma and at least 3 years of related experience. Candidates must obtain relevant certifications within 12 months. The position offers optional work from home flexibility.

Qualifications

• 3 years of related experience required.
• High-level understanding of coding guidelines, regulations, and revenue cycle policies.
• One or more of required coding credentials must be obtained within 12 months of employment.

Responsibilities

• Reviews encounter in a timely manner and resolves coding-related edits.
• Generates physician queries following established procedures.
• Performs charge reconciliation via logs and visit schedules.

Skills

Analytical skills

Knowledge of ICD-10CM and CPT coding conventions

Proficiency in Microsoft Office suite

Expert knowledge of multiple EMR platforms

Education

High School Diploma or equivalent

Job description

Medical Coder (2823)

Optional Work from Home • 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)