Cardiology Consultants of Philadelphia (CCP) is hiring a full-time Electrophysiology Coder (CPC) to support its Philadelphia, PA office.
This role is responsible for accurate, compliant, and timely coding of the electrophysiology service line, with additional coverage of general cardiology and ancillary services as needed. The coder reviews provider documentation, assigns ICD-10-CM, CPT, and HCPCS codes, and ensures coded services are supported by the clinical record and compliant with payer and regulatory requirements.
Key duties include:
- Coding electrophysiology studies, catheter ablations, device implants, device programming and monitoring, cardioversion, and related evaluation and management services
- Reviewing claims and coding edits prior to submission
- Resolving coding-related denials and rejections with billing and insurance follow-up teams
- Querying providers in a compliant, non-leading manner
- Participating in coding audits and provider education
- Working within coding policies, procedures, and workflows
- Supporting the transition from GPMS to athenaOne
The position reports to the Director of Coding & Payments and includes a $500 sign-on bonus.
Qualifications
- High school diploma or equivalent required; associate's or bachelor's degree in Health Information Management, health sciences, or a related field preferred
- Active CPC certification through AAPC, or an equivalent recognized coding credential, required
- Specialty credentials such as CCC, COC, CIRCC, or CRC preferred
- Minimum of 3 years of professional medical coding experience in cardiology or a cardiovascular subspecialty
- Electrophysiology coding experience strongly preferred
- Strong knowledge of ICD-10-CM, CPT, HCPCS, modifiers, NCCI edits, and global surgical package rules
- Working knowledge of Medicare and commercial payer requirements, including medical necessity, LCD/NCD application, device coverage criteria, and prior authorization requirements
- Experience reviewing clinical documentation and writing compliant provider queries
- Experience handling coding-related denials, rejections, appeals, and audits
- Experience with an EHR and practice management or billing system; GPMS preferred, athenaOne a plus
- Ability to work independently, manage priorities, and meet productivity and accuracy expectations
- Strong attention to detail and communication skills
Benefits
- Medical insurance
- Vision insurance
- Dental insurance
- 401(k)
- Profit sharing
- LTD
- Generous PTO
- Paid holidays
- $500 sign-on bonus
Location
Philadelphia, Pennsylvania, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 week ago