Medical Billing & Coding Specialist — Interventional Cardiology

We seek a detail-oriented Medical Billing & Coding Specialist with specific experience in interventional cardiology procedures to join our revenue cycle team.

The Medical Billing & 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

• 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.
• Prepare and submit professional and facility claims to Medicare, Medicaid, and commercial payers; ensure correct modifiers and place-of-service codes.
• Review clinical documentation and work with providers/clinical staff to obtain missing or clarifying information for correct coding and medical necessity.
• Monitor claim status, investigate denials and rejections, and process appeals and corrected claims to maximize reimbursement.
• Maintain up-to-date knowledge of interventional cardiology coding rules, payer policies, and regulatory requirements; implement coding and documentation best practices.
• Reconcile payments and post transactions; assist with patient statements and payment arrangements as needed.
• Generate and provide reporting on denial trends, accounts receivable aging, and revenue cycle metrics to leadership.
• Train clinical staff on documentation requirements specific to interventional cardiology when needed.

Required Qualifications

• High school diploma or equivalent; Associate degree or CPC/CCA/CPC-H/CPC-P/CIC certification preferred.
• Minimum 3 years medical coding/billing experience, with at least 2 years in interventional cardiology, cath lab, or cardiovascular procedural billing.
• Proficient with ICD-10-CM, CPT/HCPCS, E/M guidelines, and modifiers used in cardiology and procedural billing.
• 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.
• Strong knowledge of Medicare/Medicaid and commercial payer policies related to cardiology procedures and device billing.
• Excellent attention to detail, problem-solving skills, and ability to manage multiple priorities.
• Strong communication skills for interacting with providers, payers, and patients.
• Ability to maintain confidentiality and comply with HIPAA.

Preferred

• Certified Professional Coder (CPC) or Certified Coding Specialist (CCS).
• Experience working in a hospital outpatient lab or ASC setting.
• Familiarity with device/implant billing and manufacturer charge reconciliation.

Compensation & Benefits

• Competitive salary (range Rs. 180000–Rs.225000 commensurate with experience). The range can increase for the right candidate
• Paid time off, paid holidays, continuing education/training allowance.
• Opportunity for professional development and certification support.

Job Type: Full-time

Pay: Rs180,000.00 - Rs225,000.00 per month

Work Location: In person