Medical Coder

The Medical Coding Specialist is responsible for accurately reviewing clinical documentation and assigning appropriate ICD-10, CPT, and modifier codes in accordance with federal, state, and payer-specific regulations. This role ensures proper coding to support accurate billing, timely reimbursement, and compliance with CMS, Medicare, commercial payer policies, and internal coding standards.

The position requires a strong working knowledge of medical terminology, cardiology-related procedures, and coding guidelines, as well as attention to detail and commitment to confidentiality. The Medical Coding Specialist collaborates closely with clinical staff, billing personnel, and management to prevent denials, resolve coding issues, and optimize revenue cycle performance.

Essential Duties and Responsibilities

• Review and interpret clinical documentation to assign accurate ICD-10 diagnostic codes and CPT procedure codes with applicable modifiers.
• Ensure all coding complies with CMS, Medicare, commercial payer rules, and nationally recognized coding standards.
• Monitor payer medical policies and coding guidelines to support accurate claim submissions.
• Assist in researching, analyzing, and resolving denied claims related to coding issues.
• Maintain up-to-date knowledge of annual coding guideline changes, payer policy updates, and compliance requirements.
• Communicate with providers to clarify documentation and ensure accurate code selection when needed.
• Maintain confidentiality of all patient information per HIPAA and organizational standards.
• Assist with office support tasks as needed, including phone duties and documentation support.
• Perform other duties as assigned to support the billing and coding department.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education

• Associate degree or completion of an accredited medical coding certificate program required.

Experience

• Experience in medical coding is required.
• Cardiology coding experience preferred.

Licensure/Certification (one or more required)

• Certified Professional Coder (CPC) – AAPC
• Certified Cardiology Coder (CCC) - AAPC
• Certified Coding Specialist (CCS) – AHIMA
• Certified Coding Specialist – Physician Based - AHIMA

Skills and Abilities

• Proficiency in ICD-10-CM and CPT coding with understanding of modifiers.
• Knowledge of medical terminology and anatomy, with cardiology experience preferred.
• Strong analytical and problem-solving skills.
• Ability to interpret clinical documentation and apply coding guidelines accurately.
• Strong verbal and written communication skills.
• Proficiency with EMR and medical billing software.
• Ability to maintain strict confidentiality and adhere to HIPAA.
• High attention to detail and accuracy.

Language Requirement

• Proficiency in reading, writing, and speaking English is required to perform essential job duties, including interpreting documentation, communicate with providers, and staff.

Physical and Mental Requirements

• Frequent sitting with intermittent walking.
• Occasional bending, stooping, and reaching as required for daily tasks.
• Regular use of hands and fingers for typing, computer operation, and handling office materials.
• Ability to regularly lift and/or move up to 10 pounds and occasionally up to 25 pounds.
• Visual abilities including close, distance, and peripheral vision; depth perception; and the ability to adjust focus for reading documents and computer screens.
• Work environment is typically quiet and professional but may become fast-paced with distracting noise levels due to phone activity.

Competencies

• Problem Solving: Identifies issues and resolves coding-related discrepancies promptly.
• Customer Service: Responds professionally to internal and external inquiries.
• Interpersonal Skills: Maintains confidentiality; communicates effectively with providers and staff.
• Oral Communication: Communicates clearly; seeks clarification when needed.
• Judgment: Uses sound decision-making aligned with coding compliance standards.
• Professionalism: Demonstrates respect, reliability, and accountability.
• Quality: Ensures accuracy and completeness in coding and documentation review.
• Attendance/Punctuality: Reliable and punctual; maintains consistent attendance.
• Dependability: Follows instructions, meets deadlines, and completes work with accuracy.
• Initiative: Actively stays current on coding updates and seeks opportunities to support team efficiency.

Shift/Schedule:

• Full-time, Monday to Thursday, 8:30 am to 5 pm
• Friday 8:30 am to 3:00pm

Benefits:

• Paid time off
• Health insurance
• Dental insurance
• Vision insurance
• 401(k)
• Life insurance
• Disability insurance

Interview Process:

• Selected applicants will be invited to an in-person interview at the Heart Center and must take and pass a proctored coding knowledge exam to be considered for interview with hiring manager.

We're looking for someone passionate and eager to contribute to our growing team. If this opportunity aligns with your career goals and expertise, we'd love to hear from you.