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Flower Mound Family Physicians

We seek a detail-oriented Medical Billing &amp; Coding Specialist with specific experience in interventional cardiology procedures to join our revenue cycle team.The Medical Billing &amp; Coding Specialist is responsible for accurate, timely coding and submission of professional and facility claims for interventional cardiology services, follow-up on denials and appeals, patient billing inquiries, and maintaining compliance with payer and regulatory guidelines. This role requires deep knowledge of CPT/HCPCS, ICD-10, and documentation requirements for cath lab, EP, PCI, stenting, structural interventions, and associated device billing.Key Responsibilities<ul><li>Accurately assign CPT/HCPCS and ICD-10 codes for interventional cardiology procedures (diagnostic cath, PCI, atherectomy, TAVR/structural, EP procedures, device placement, vascular access) and related outpatient/inpatient encounters.</li><li>Prepare and submit professional and facility claims to Medicare, Medicaid, and commercial payers; ensure correct modifiers and place-of-service codes.</li><li>Review clinical documentation and work with providers/clinical staff to obtain missing or clarifying information for correct coding and medical necessity.</li><li>Monitor claim status, investigate denials and rejections, and process appeals and corrected claims to maximize reimbursement.</li><li>Maintain up-to-date knowledge of interventional cardiology coding rules, payer policies, and regulatory requirements; implement coding and documentation best practices.</li><li>Reconcile payments and post transactions; assist with patient statements and payment arrangements as needed.</li><li>Generate and provide reporting on denial trends, accounts receivable aging, and revenue cycle metrics to leadership.</li><li>Train clinical staff on documentation requirements specific to interventional cardiology when needed.</li></ul>Required Qualifications<ul><li>High school diploma or equivalent; Associate degree or CPC/CCA/CPC-H/CPC-P/CIC certification preferred.</li><li>Minimum 3 years medical coding/billing experience, with at least 2 years in interventional cardiology, cath lab, or cardiovascular procedural billing.</li><li>Proficient with ICD-10-CM, CPT/HCPCS, E/M guidelines, and modifiers used in cardiology and procedural billing.</li><li>Experience with major practice management/EHR systems (e.g., eCW, Epic, Cerner, Meditech, NextGen, Athena) and billing software; experience with cath lab-specific interfaces a plus.</li><li>Strong knowledge of Medicare/Medicaid and commercial payer policies related to cardiology procedures and device billing.</li><li>Excellent attention to detail, problem-solving skills, and ability to manage multiple priorities.</li><li>Strong communication skills for interacting with providers, payers, and patients.</li><li>Ability to maintain confidentiality and comply with HIPAA.</li></ul>Preferred<ul><li>Certified Professional Coder (CPC) or Certified Coding Specialist (CCS).</li><li>Experience working in a hospital outpatient lab or ASC setting.</li><li>Familiarity with device/implant billing and manufacturer charge reconciliation.</li></ul>Compensation &amp; Benefits<ul><li>Competitive salary (range Rs. 180000&ndash;Rs.225000 commensurate with experience). The range can increase for the right candidate</li><li>Paid time off, paid holidays, continuing education/training allowance.</li><li>Opportunity for professional development and certification support.</li></ul>Job Type: Full-timePay: Rs180,000.00 - Rs225,000.00 per monthWork Location: In person

Medical Billing & Coding Specialist — Interventional Cardiology

Join Flower Mound Family Physicians and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Flower Mound Family Physicians

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Medical Billing & Coding Specialist — Interventional Cardiology