Job Description - Pro Fee Coder – Cardiology (Full Procedural)

The Pro Fee Coder – Cardiology (Full Procedural) will review clinical documentation to assign and sequence diagnostic and procedural codes for a wide range of cardiology services, including both non-invasive and invasive procedures. This role ensures accurate coding for cardiac evaluations, diagnostic testing, interventional cardiology procedures, and electrophysiology studies to support compliant billing and proper reimbursement. The Coder will collaborate with providers and clinical teams to clarify documentation, ensure coding accuracy, and maintain compliance with all regulatory and payer-specific requirements.

DUTIES AND RESPONSIBILITIES:

• Select and sequence ICD-10 and/or CPT/HCPCS codes for cardiology professional fee services, including but not limited to:
  • Cardiac catheterizations (left/right heart caths)
  • Angioplasty and stent placements
  • Pacemaker and ICD implantations and checks
  • Stress tests, EKGs, echocardiograms, Holter monitoring
  • Electrophysiology studies and ablations
  • Office and outpatient cardiology consultations and follow-up visits
• Review provider documentation to ensure accurate procedural coding, appropriate modifiers, and E/M level selection that reflect the intensity and complexity of the visit.
• Validate documentation to support medical necessity and payer compliance requirements.
• Collaborate with providers and staff for query resolution and documentation improvement.
• Maintain strict patient and provider confidentiality in compliance with HIPAA guidelines.
• Participate in Savista and client meetings, trainings, and ongoing performance evaluations as required.
• Maintain current working knowledge of ICD-10, CPT/HCPCS, NCCI edits, and payer-specific coding guidelines specific to cardiology and interventional procedures.
• Stay current on CMS, AMA, and specialty society coding updates relevant to cardiology.

SKILLS AND QUALIFICATIONS:

• Required:
  • Active AHIMA credential (RHIA, RHIT, CCS, CCA) or AAPC credential (CPC, COC, CCS-P, or related specialty).
  • Minimum of two years of recent and relevant coding experience in cardiology, cardiovascular medicine, or interventional cardiology.
  • Strong knowledge of procedural coding, modifiers, and bundling rules related to diagnostic and therapeutic cardiac procedures.
  • Solid understanding of anatomy, physiology, and pathophysiology of the cardiovascular system.
  • Ability to code with 95% accuracy while maintaining production and compliance standards.
  • Proficiency in MS Office (Outlook, Word, Excel) and experience using EHR and coding applications.

PREFERRED SKILLS:

• Previous experience coding for invasive and non-invasive cardiology or in an acute care or outpatient procedural setting strongly preferred.
• Associate degree in Health Information Management (HIM) or a related field, or equivalent education and experience.
• Familiarity with Cerner, RCX, or Nextgen systems (a plus).
• Understanding of documentation for split/shared visits and teaching physician guidelines.
• Experience reviewing complex cardiovascular procedures for multiple providers or service lines.