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The Cardiology & Informatics Specialist oversees the coding management of Invasive Cardiology Services and is responsible for collaborating with HIM to ensure policies and protocols related to Invasive Cardiology coding and billing to ensure compliance. The Cardiology & Informatics Specialist  will create, revise, and maintains Cath Lab and/or EP Lab charge documents for professional and technical charges and ensure annual review of Charge master and CDM’s are completed and in line with current market. In addition, the Specialist will assist with the onboarding and monitoring of new physicians.  

The Cardiology & Informatics Specialist can expect the following:

• Billing/Charge Reconciliation Specialist activities to ensure accountability for all services performed and compliance with billing and internal standards is maintained. 

• Communicate with HIM when there are billing issues such as appending modifiers to aborted procedures or holding accounts due to CDM issues, etc. 

• Daily work requirements will include, but not be limited to: Daily charge reconciliation; Case resolution; case resolution reconciliation; verify procedures are billed accurately; charges entered daily to avoid late billing, unless validation required; data mismatch resolution; amend corrections within 24 hours when identified; resource to anonymize research reports before printing or uploading to medical records; DMS troubleshooting resource for end users.

BENEFITS

Our competitive benefits package includes the following

• Immediate eligibility for health and welfare benefits
• 401(k) savings plan with dollar-for-dollar match up to 5%
• Tuition Reimbursement
• PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level

The ideal candidate for The Cardiology & Informatics Specialist position must be able to work in a team environment and have strong interpersonal and problem solving skills with commitment to professionalism and providing quality care to members.

QUALIFICATIONS
 

• EDUCATION - Bachelors or Equivalent Exp
• CERTIFICATION/LICENSE/REGISTRATION: 
  •        Cert Coding Specialist (CCS), Cert Coding Spec Physician Bas (CCS-P), Cert Professional Coder (CPC), Cert Procedural Code - Hosp (CPC-H): Must have one of the following:
  • -- CCS - Certified Coding Specialist
  • -- CCS-P - Certified Coding Specialist-Physician Based
  • -- CPC - Certified Professional Coder
  • -- CPC-H - Certified Procedural Coder - Hospital.