Cardiovascular Services Billing/Coding Specialist

Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care.   

It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community.

Benefits Eligible

Work Shift

Department

The Cardiovascular Services Billing/Coding Specialist is responsible for accurate and timely billing, claims corrections, charge posting, and account follow-up for outpatient cardiology services. This position works closely with providers, clinical staff, HIM, Coding, and patients to ensure claims are properly coded and submitted in accordance with payer requirements and applicable regulations.

QUALIFICATIONS

Education

Preferred: High School Diploma

Experience

Preferred:

A minimum of one year of medical billing experience

Outpatient physician or specialty-practice billing experience

Cardiology billing experience

Knowledge/Skills/Abilities

Knowledge of medical terminology, CPT, HCPCS, and ICD-10-CM coding.

Familiarity with Medicare, Medicaid, commercial insurance, and other third-party payers.

Excellent attention to detail and organizational skills.

Strong written and verbal communication skills.

Ability to maintain patient confidentiality and handle sensitive financial information.

Familiarity with procedures such as and but not limited:

Office visits and consultations

EKG/ECG services

Echocardiograms

Stress testing

Holter and ambulatory cardiac monitoring

Pacemaker and ICD-related services

Vascular and cardiovascular diagnostic testing

Cardiac imaging and other cardiology procedures

JOB RESPONSIBILITIES

Review patient accounts, insurance information, and documentation for charge accuracy.

Verify insurance eligibility and benefits as needed.

Review charges for accurate CPT, HCPCS, ICD-10-CM, and modifier usage.

Follow up on rejected, denied, and unpaid claims and make necessary corrections.

Research and resolve billing discrepancies, claim edits, and insurance denials.

Assist with prior authorization and referral-related billing issues when applicable.

Communicate professionally with patients regarding billing questions and account balances.

Maintain accurate and confidential patient and financial information.

Work with coding and clinical staff to resolve documentation or coding-related billing issues.

Stay current with payer policies, billing requirements, and changes affecting cardiology services.

Maintain compliance with HIPAA and applicable federal and state healthcare regulations.

Pay Range

If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.