Cardiology Coding Specialist

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🕒 March 18

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Confido Health

11 - 50 employees

Founded 2022

🤖 Artificial Intelligence

⚕️ Healthcare Insurance

Artificial Intelligence • Healthcare Insurance • Healthcare

Confido Health is revolutionizing healthcare operations using AI technology. By automating repetitive tasks such as scheduling and follow-ups, their AI agents save healthcare staff significant time each day. This automation helps to address staffing shortages and reduces operational costs, allowing healthcare providers to focus more on delivering high-quality patient care. With trusted applications and workflows, Confido Health supports healthcare providers in enhancing efficiency and revenue recovery while managing patient interactions effectively.

📋 Description

• Under general direction, this position will be responsible for improving charge capture accuracy through workflow assessments coding reviews process improvement collaboration and reporting. • The Cardiology Coding Specialist works collaboratively with leadership to assist in development project management and implementation of process enhancements or corporation initiatives to enhance charge capture accuracy. • In addition, this role monitors and analyzes coding performance at the section and business unit levels. • The primary role of this position is to support education, documentation principals, clean claims, and denial prevention.

🎯 Requirements

• Review charts and capture all reportable services. • Coordinate with other coding staff to ensure all reportable services are captured and assigned to appropriate physician or ARNP. • Assign all appropriate ICD codes, CPT codes, and modifiers per ICD, CPT, and Medicare or commercial carrier published guidelines. • Enter charges, review WQs to address edits/denials. • Review work queues in EMR and resolve coding issues for professional services for both hospital and clinic places of service. • Reconcile charges monthly to ensure capture of all reportable services. • Work with business office to resolve hospital billing questions/coding denials or concerns. • Assist employees and physicians in providing coding guidance. • Pull audit reports and back up documentation for internal audits. • Comply with all legal requirements regarding coding procedures and practices. • Conduct audits and coding reviews to ensure all documentation is precise and accurate. • Assign and/or review the sequence of all CPT and ICD 10 codes for services rendered. • Collaborate with AR teams to ensure all claims are completed and processed in a timely manner. • Support the team with applying expertise and knowledge as it relates to claim denials. • Aid in submitting appeals with various payers about coding errors and disputes. • Submit statistical data for analysis and research by other departments. • Ability to identify PSI triggers or have working knowledge of PSI triggers which includes identifying and assigning co-morbidities and complications. • Ability to assign the appropriate DRG, discharge disposition code and principal DX codes.

🏖️ Benefits

• CPC or CCS coding credentials required • Cardiology experience preferred • EMR, eCW, Centricity, Epic, Encoder Pro or 3M experience highly desired • Microsoft Office Skills: Excel – Must have the ability to create and manage simple spreadsheets. • Word – Must be able to compose business correspondence.

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