Senior E/M - Ancillary Cardio Specialty Coder

Senior E/M - Ancillary Cardio Specialty Coder

Location: Irving, TX | Onsite

COMPENSATION & SCHEDULE

• $35.75/hour – min of 2 years of E/M - Ancillary Cardio coding experience required

• $42.18/hour – min of 5 years of E/M - Ancillary Cardio coding experience required

• Monday–Friday | 8:00 AM – 5:00 PM

• Temp-to-Perm (W2)

• Start Date: ASAP

The Senior E/M – Ancillary Cardio Specialty Coder is responsible for the accurate and compliant coding of Evaluation & Management (E/M) services and ancillary cardiology diagnostic procedures for physician/professional fee (ProFee) billing. This role reviews clinical documentation, assigns ICD-10-CM, CPT, and HCPCS codes, and ensures coding supports accurate reimbursement while minimizing denials. Success is measured by maintaining a coding accuracy rate of 95% or higher, reducing coding-related denials, and ensuring compliance with payer, CMS, and regulatory guidelines.

Key Responsibilities

• Review and analyze physician documentation to accurately assign ICD-10-CM, CPT, HCPCS, and E/M codes in accordance with CMS, payer, and AMA coding guidelines.

• Code professional fee (ProFee) Evaluation & Management services, including office visits, hospital visits, consultations, and other E/M encounters.

• Assign accurate CPT and HCPCS codes for ancillary cardiology diagnostic services, including EKGs, echocardiograms, stress testing, Holter monitoring, event monitoring, vascular studies, and related cardiovascular procedures.

• Apply appropriate coding modifiers, National Correct Coding Initiative (NCCI) edits, and payer-specific guidelines to maximize reimbursement accuracy.

• Abstract patient and provider data within Epic EMR and related coding systems to support timely and accurate billing.

• Maintain coding accuracy of 95% or higher and identify documentation deficiencies requiring physician clarification.

• Collaborate with Clinical Documentation Improvement (CDI), providers, and revenue cycle teams to resolve coding edits, denials, audits, and reimbursement inquiries.

• Stay current on annual ICD-10-CM, CPT, HCPCS, E/M guideline changes, cardiology coding updates, and payer policy revisions.

Minimum Qualifications

• Active coding certification (CPC, CCS-P, RHIT, RHIA, or equivalent) required. Apprentices will not be considered.

• Minimum of 2 years of physician (ProFee) coding experience with strong Evaluation & Management (E/M) coding experience.

• Minimum of 2 years of ancillary cardiology coding experience, including diagnostic cardiovascular procedures.

• 5+ years of combined E/M and cardiology specialty coding experience preferred for specialty pay rate consideration.

• Thorough understanding of CPT, HCPCS, ICD-10-CM, E/M documentation guidelines, modifier usage, and payer regulations.

• Experience working in a healthcare provider, physician practice, or hospital coding environment.

• Candidate must have a laptop and two monitors available to work from.

Core Tools & Systems

• Epic EMR (preferred) or comparable Electronic Medical Record (EMR/EHR) systems

• ICD-10-CM, CPT, HCPCS, E/M, and NCCI coding guidelines and reference tools

• Practice management and billing systems

• Microsoft Office or comparable productivity software

Preferred Skills

• Strong knowledge of Evaluation & Management coding guidelines and Medical Decision Making (MDM) requirements

• Experience coding ancillary cardiology diagnostic procedures and cardiovascular testing

• Excellent attention to detail and coding accuracy

• Ability to interpret physician documentation and identify coding opportunities or deficiencies

• Strong analytical, communication, and organizational skills

• Ability to work independently while maintaining productivity and quality standards in a fast-paced healthcare environment

Legal Notice

This position requires an in-person interview. Final candidates must successfully complete a background check (criminal record, education, and employment verification), drug screen, and clerical testing prior to employment.

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