Cardiovascular Services Billing/Coding Specialist

Kaweah Health•Visalia, CA

1d•$22 - $34

About The Position

The Cardiovascular Services Billing/Coding Specialist is responsible for accurate and timely billing, claims corrections, charge posting, and account follow-up for outpatient cardiology services. The position works closely with providers, clinical staff, Health Information Management (HIM), Coding, and patients to ensure claims are properly coded and submitted in accordance with payer requirements and applicable regulations. The role is based in the KH Cardiology Center in Visalia and is listed as a day shift of eight hours or less.

Requirements

Knowledge of medical terminology, CPT, HCPCS, and ICD-10-CM coding.
Familiarity with Medicare, Medicaid, commercial insurance, and other third-party payers.
Excellent attention to detail and organizational skills.
Strong written and verbal communication skills.
Ability to maintain patient confidentiality and handle sensitive financial information.
Preferred: High school diploma.
Preferred: A minimum of one year of medical billing experience.
Preferred: Outpatient physician or specialty-practice billing experience.
Preferred: Cardiology billing experience.
Familiarity with procedures such as office visits and consultations; EKG/ECG services; echocardiograms; stress testing; Holter and ambulatory cardiac monitoring; pacemaker and ICD-related services; vascular and cardiovascular diagnostic testing; and cardiac imaging and other cardiology procedures.

Nice To Haves

High school diploma.
A minimum of one year of medical billing experience.
Outpatient physician or specialty-practice billing experience.
Cardiology billing experience.

Responsibilities

Review patient accounts, insurance information, and documentation for charge accuracy.
Verify insurance eligibility and benefits as needed.
Review charges for accurate CPT, HCPCS, ICD-10-CM, and modifier usage.
Follow up on rejected, denied, and unpaid claims and make necessary corrections.
Research and resolve billing discrepancies, claim edits, and insurance denials.
Assist with prior authorization and referral-related billing issues when applicable.
Communicate professionally with patients regarding billing questions and account balances.
Maintain accurate and confidential patient and financial information.
Work with coding and clinical staff to resolve documentation or coding-related billing issues.
Stay current with payer policies, billing requirements, and changes affecting cardiology services.
Maintain compliance with HIPAA and applicable federal and state healthcare regulations.