Position Summary
At Advanced Cardiovascular Clinic, we maintain a family-friendly atmosphere, specializing in quality care, and we are aiming for expanding our practice so we can continue making a positive difference in our local community. In doing so, we are seeking a detail-oriented, dependable, and motivated Certified Medical Coder/Biller to join our growing cardiovascular practice. The ideal candidate will have strong knowledge of medical coding, insurance billing, and the medical revenue cycle, with experience coding cardiovascular procedures and Evaluation & Management (E&M) services. This individual will play a key role in ensuring accurate coding, timely claim submission, reimbursement optimization, and exceptional patient service.
Responsibilities
Responsibilities include, but are not limited to:
- Assign accurate ICD-10-CM, CPT, and HCPCS codes for cardiovascular procedures and Evaluation & Management (E&M) services.
- Review provider documentation to ensure coding accuracy, completeness, and compliance with payer and regulatory guidelines.
- Submit and process insurance claims electronically.
- Follow up on unpaid, denied, and underpaid insurance claims to ensure timely reimbursement.
- Research and resolve claim denials, payment discrepancies, and coding edits.
- Verify patient insurance eligibility, benefits, and authorization requirements.
- Process patient billing, answer billing inquiries, and assist patients with payment questions.
- Post insurance and patient payments accurately when needed.
- Work collaboratively with providers and clinical staff to improve documentation and coding accuracy.
- Monitor payer policy changes and maintain compliance with Medicare, Medicaid, commercial payer, HIPAA, and coding guidelines.
- Assist with revenue cycle initiatives to improve clean claim rates and reduce denials.
- Perform additional billing, coding, and administrative duties as assigned.
Qualifications
Required:
- Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or equivalent coding certification.
- Minimum of 2 years of medical coding and billing experience (cardiovascular or specialty practice experience preferred).
- Strong knowledge of ICD-10-CM, CPT, HCPCS Level II, and E&M coding guidelines.
- Experience with insurance claim submission, denial management, and accounts receivable follow-up.
- Familiarity with Medicare, Medicaid, and commercial insurance regulations.
- Proficiency with electronic health records (EHR) and practice management software.
- Excellent attention to detail, organizational skills, and problem-solving abilities.
- Strong written and verbal communication skills.
- Ability to prioritize tasks and work independently in a fast-paced environment.
Preferred:
- Experience in cardiovascular or interventional cardiology coding.
- Knowledge of revenue cycle management metrics and best practices.
- Experience working with multiple insurance carriers and payer portals.
Paid training will be provided on-site. Wage offered for this position will depend on experience level. Incentives offered for exemplary performance. 401K matching, paid time off up to 2 weeks per year, paid holidays, and no cost health benefits are offered to qualifying employees.
If you are interested in becoming a member of our ACC team, please submit your resume by clicking the link below. Resumes can also be submitted in person, via mail, via email at [email protected], or via fax at 810-600-3398.
Pay: From $20.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Ability to Commute:
- Flushing, MI 48433 (Required)
Work Location: In person
