Coder Physician
About The Position
Pro Fee coder with at least 2 years of experience coding in cardiology preferably cardiovascular, cardiology, IVR procedures as well as EM visits; however, can take either surgery or EM experience. Must be experienced with edits and denials. Experience with bariatric cases a plus. Cerner experience is a plus. The project will be working denials and edits primarily in cariology with some bariatric as well. This is short term project estimated to be 3 months. This is open to fulltime or parttime candidates. The preferred schedule is M-F with hours worked between 7a-5p CST. Required experience for all candidates: NCCI/CCIedits and modifier indicators Medically Unlikely Edits (MUEs) Medical necessity denials Modifiers 26 and TC Modifiers 59, XE, XS, XP, and XU Looking up NCDs and LCDs Required experience for surgery candidates : Cardiac Caths Interventions (PCI, stents, atherectomy, thrombectomy) Electrophysiology studies and ablations Device procedures (pacemakers, ICDs, CRT, lead revisions, generator changes) Structural heart procedures (TAVR/TMVR, Watchman) Experience with modifiers 51, 76 and 77 Required experience for EM candidates: Office EMs Hospital EMs (initial, subsequent, discharge, and consult) EKGs (high volume of these) Modifier 25 Global periods Split shared Office procedures (Echo's, stress tests, Holter monitor, vascular ultrasound, and device checks)
Requirements
- 2 + years' experience in cardiology
- 2+ years' experience with edit and denials
- 2+years' experience with cardiology surgery and/or EM coding
- NCCI/CCIedits and modifier indicators
- Medically Unlikely Edits (MUEs)
- Medical necessity denials
- Modifiers 26 and TC
- Modifiers 59, XE, XS, XP, and XU
- Looking up NCDs and LCDs
- Cardiac Caths
- Interventions (PCI, stents, atherectomy, thrombectomy)
- Electrophysiology studies and ablations
- Device procedures (pacemakers, ICDs, CRT, lead revisions, generator changes)
- Structural heart procedures (TAVR/TMVR, Watchman)
- Experience with modifiers 51, 76 and 77
- Office EMs
- Hospital EMs (initial, subsequent, discharge, and consult)
- EKGs (high volume of these)
- Modifier 25
- Global periods
- Split shared
- Office procedures (Echo's, stress tests, Holter monitor, vascular ultrasound, and device checks)
- Able to pick up new workflows and technology easily
- Able to ramp up productivity in 4 weeks
- Maintain 95% accuracy in all coding
- Good written and verbal communication
Nice To Haves
- Bariatric experience
- Cerner experience
- Able to work hours M-F between 7a-5p CST preferred
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
