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Full Time

Cardiovascular ASC Coding/Billing and ASC Support

Cardiovascular Centers of America Remote

Location : Remote Reports To: Director of Revenue Cycle Employment Type: Full-Time Position Summary The RCM Account Manager is responsible for managing all aspects of the revenue cycle for a cardiovascular-focused Ambulatory Surgery Center (ASC), including medical coding, billing, claims management, payment posting, and collections . This role ensures compliant, timely, and accurate reimbursement for cardiology and peripheral vascular procedures while providing high-touch service to internal stakeholders and physician partners. Key Responsibilities Coding & Charge Capture Accurately code cardiovascular procedures (e.g., peripheral interventions, pacemakers, stents) using CPT, HCPCS, and ICD-10 guidelines. Ensure documentation compliance with CMS and payer-specific policies. Stay current with cardiology-specific coding updates and NCCI edits. Billing & Claims Management Submit clean claims to Medicare, commercial payers, and...

Full Time Xtern Program

Inpatient and/or Outpatient Certified Professional Medical Auditor (CPMA)

Phoenix Behavioral Healthcare, LLC Hybrid (Jupiter, FL, USA)

The Certified Professional Medical Auditor is responsible for performing comprehensive audits of medical records, coding, and billing to ensure accuracy, compliance with federal and state regulations, and alignment with payer policies. This role helps protect the organization from financial risk, supports accurate reimbursement, and promotes high standards of documentation and clinical integrity. Key Responsibilities Perform prospective and retrospective audits of medical records, coding, and billing across assigned service lines (e.g., outpatient, inpatient, behavioral health, SUD/MH, lab). Verify that documentation supports ICD‑10‑CM, CPT, and HCPCS coding; identify under‑coding, over‑coding, unbundling, and other compliance risks. Review claims for adherence to Medicare/Medicaid, commercial payer, and regulatory guidelines; ensure compliance with NCCI edits and payer‑specific policies. Prepare clear, detailed audit reports summarizing findings,...

Full Time

Coding Claim Review Specialist (IP/OP)

CorroHealth Remote

QUALIFICATIONS 5+ years of directly related experience Expert knowledge in revenue cycle and Outpatient coding (ER, SDS, OBS, ancillary, IR, Profee, E/M facility, I&I) Medical Terminology and anatomy knowledge is require Clinical Documentation and Inpatient coding experience is preferred. New hires will be expected to learn IP during employment. Must have strong understanding of revenue cycle, CMS Manual/guidelines, Medicaid guidelines. Strong Microsoft Excel, PowerPoint, Word and OneNote skills Must have strong understanding of the Official Coding Guidelines, OP coding and billing (i.e. including but not limited to knowledge of rev codes, HCPCS, MUE and CCI edits, UoS) Strong analytical capability, independent thinker and good decision-making skills Excellent written and verbal communication and presentation skills Strong computer and technology knowledge and skills Highly professional demeanor, great client satisfaction skills ESSENTIAL DUTIES...

3 claims edit coder jobs found