Senior E/M - Ancillary Cardio Specialty Coder
Location: Irving, TX | Onsite
COMPENSATION & SCHEDULE
$35.75/hour – min of 2 years of E/M - Ancillary Cardio coding experience required
$42.18/hour – min of 5 years of E/M - Ancillary Cardio coding experience required
Monday–Friday | 8:00 AM – 5:00 PM
Temp-to-Perm (W2)
Start Date: ASAP
The Senior E/M – Ancillary Cardio Specialty Coder is responsible for the accurate and compliant coding of Evaluation & Management (E/M) services and ancillary cardiology diagnostic procedures for physician/professional fee (ProFee) billing. This role reviews clinical documentation, assigns ICD-10-CM, CPT, and HCPCS codes, and ensures coding supports accurate reimbursement while minimizing denials. Success is measured by maintaining a coding accuracy rate of 95% or higher, reducing coding-related denials, and ensuring compliance with payer, CMS, and regulatory guidelines.
Review and analyze physician documentation to accurately assign ICD-10-CM, CPT, HCPCS, and E/M codes in accordance with CMS, payer, and AMA coding guidelines.
Code professional fee (ProFee) Evaluation & Management services, including office visits, hospital visits, consultations, and other E/M encounters.
Assign accurate CPT and HCPCS codes for ancillary cardiology diagnostic services, including EKGs, echocardiograms, stress testing, Holter monitoring, event monitoring, vascular studies, and related cardiovascular procedures.
Apply appropriate coding modifiers, National Correct Coding Initiative (NCCI) edits, and payer-specific guidelines to maximize reimbursement accuracy.
Abstract patient and provider data within Epic EMR and related coding systems to support timely and accurate billing.
Maintain coding accuracy of 95% or higher and identify documentation deficiencies requiring physician clarification.
Collaborate with Clinical Documentation Improvement (CDI), providers, and revenue cycle teams to resolve coding edits, denials, audits, and reimbursement inquiries.
Stay current on annual ICD-10-CM, CPT, HCPCS, E/M guideline changes, cardiology coding updates, and payer policy revisions.
Active coding certification (CPC, CCS-P, RHIT, RHIA, or equivalent) required. Apprentices will not be considered.
Minimum of 2 years of physician (ProFee) coding experience with strong Evaluation & Management (E/M) coding experience.
Minimum of 2 years of ancillary cardiology coding experience, including diagnostic cardiovascular procedures.
5+ years of combined E/M and cardiology specialty coding experience preferred for specialty pay rate consideration.
Thorough understanding of CPT, HCPCS, ICD-10-CM, E/M documentation guidelines, modifier usage, and payer regulations.
Experience working in a healthcare provider, physician practice, or hospital coding environment.
Candidate must have a laptop and two monitors available to work from.
Epic EMR (preferred) or comparable Electronic Medical Record (EMR/EHR) systems
ICD-10-CM, CPT, HCPCS, E/M, and NCCI coding guidelines and reference tools
Practice management and billing systems
Microsoft Office or comparable productivity software
Strong knowledge of Evaluation & Management coding guidelines and Medical Decision Making (MDM) requirements
Experience coding ancillary cardiology diagnostic procedures and cardiovascular testing
Excellent attention to detail and coding accuracy
Ability to interpret physician documentation and identify coding opportunities or deficiencies
Strong analytical, communication, and organizational skills
Ability to work independently while maintaining productivity and quality standards in a fast-paced healthcare environment
This position requires an in-person interview. Final candidates must successfully complete a background check (criminal record, education, and employment verification), drug screen, and clerical testing prior to employment.
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