Cardiology Coder III - WellSpan Health - Remote
(2025-01)
- Reviews and codes clinical notes and operative reports for professional Cardiology services including but not limited to office visits, inpatient and outpatient visits, critical care visits, echocardiograms, transesophageal echocardiograms, Nuclear Stress Tests, TAVRs, CABGs, Heart Caths, pacemaker, ICD insertions, and Watchman device procedures, device checks, and holter monitors.
- Billing fellow/resident encounters following coding guidelines.
- Trained fellow coders on newly acquired hospital with split/flip encounters.
- Charge entry into billing systems EPIC, CACPro, and Cerner.
- Follow up and resolution of coding related denials and rejections including appeals if necessary.
- Work in conjunction with hospital billers to ensure physician billing matches hospital billing.
- Communication with providers regarding missing documentation.
- Maintaining a minimum of 24 encounters per hour.
Cardiology Coder - HCA Healthcare - Remote
(2023-01 - 2025-01)
- Reviews and codes clinical notes and operative reports for professional Cardiology services including but not limited to office visits, critical care visits, echocardiograms, transesophageal echocardiograms, Nuclear Stress Tests, TAVRs, CABGs, Heart Caths, pacemaker, ICD insertions, and Watchman device procedures, device checks, and holter monitors.
- Coordinates and reconciles multiple schedules to ensure complete charge capture.
- Charge entry of codes into billing systems eCW, PK, CACPro, and Cerner within the service level agreement timeframes.
- Work in conjunction with the A/R team on follow up and resolution of coding related denials and rejections including recommendation of new/updated coding edits.
- Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations.
- Maintaining a 95% or above quarterly audit score on correct cardiology coding.
- Maintaining a minimum of 20 encounters coded per hour.
Medical Billing and Coding Specialist III - Assistant Manager/Lead - GCRMC - Alamogordo, NM
(2017-01 - 2023-01)
Assistant to the Billing and Coding Manager providing training, approving time-sheets, answering coding questions, and offering support to a team of 12 billers and coders. Interviewing potential candidates for hire. Involved in the hiring process for new employees by coordinating with IT for login information to our EHR systems as well as obtaining keys and badges for the building.
- Use of Medicare and AAPC guidelines by reviewing medical reports to assign professional service coding including office visits, outpatient and inpatient surgical and non-surgical procedures, outpatient and inpatient consultations, injections, and diagnoses.
- Audit medical charts and records for compliance with federal coding regulations and guidelines.
- Responsible for working rejected claims, appealing denied claims, and correcting claims for missing or invalid information.
- Responsible for verifying medical insurance, medical necessity, and attaching proper authorizations when necessary.
- Communicate directly with clinical staff including registration and front desk coordinators.
Accounts Receivable Manager/Medical Coder - NM Rehab - Alamogordo, NM
(2019-01 - 2022-01)
- Reviewing, coding, and auditing physical therapy and occupational therapy claims. Verifying claims with the use of Medicare and AAPC guidelines and the patient's medical record.
- Support and train Physical Therapy, Occupational Therapy, and Physical Therapy Assistant staff on EHR system as well as proper medical billing, coding, documentation, and HIPAA guidelines.
- Responsible for verifying medical insurance, medical necessity, and attaching proper authorizations when necessary.
- HIPAA Compliance Officer - responsible for HIPAA compliance at our Alamogordo, NM location.
- Correct, resubmit, and/or appeal insurance claim denials.
- Accountable for Accounts Receivable Aging and collections on past due claims.
- Set objectives for the Accounts Receivable team that align with the accounting department's goals.
- Prepare monthly, quarterly and annual forecasting and receivables reports to owners and CFO.
- Supervision of Accounts Receivable staff including approving time off, approving timesheets and payroll, and providing adequate coverage for staffing needs as they may arise.
