Medical Billing and Coding Specialist

About the Company 

CardioOne partners with independent cardiologists to provide innovative solutions that improve patient outcomes and reduce costs. Our platform helps our physician partners thrive in today’s fee-for-service environment and prepare for success in value-based care. In February 2024, we partnered with WindRose Health Investors as well as top physician services and payor executives to grow our team and invest in our next phase of growth.  

CardioOne offers a magnificent work environment, good working conditions, and competitive pay. We offer medical, dental, vision, and a 401k plan with a match to benefit eligible employees. We offer PTO (Personal Time Off) and sick time to full-time employees.  We take pride in creating a culture of employee engagement that translates into an exemplary patient experience. Join us in our mission to positively impact US cardiology. 

About the Job  

We are seeking a detail-oriented Medical Billing and Coding Specialist to join our team!  The ideal candidate will have a demonstrated knowledge of medical billing, preferably in cardiology services.  We seek an organized critical thinker with billing knowledge and who is comfortable working with providers, insurance companies, and in a fast-paced environment.  This role offers an exciting opportunity to dive into the heart of healthcare finance, where you'll play a crucial part in our practice's success while developing valuable skills for your future career growth.  

What you’ll do:  

• Create and maintain patient records sufficiently to support billing 
• Map insurance information from hospital records to the practice EHR  
• Contact patients where additional insurance information is required 
• Answer patient inquiries regarding balances 
• Work in multiple computer systems to obtain and organize information to support billing 
• Ensures timely charge entry for all services rendered.  
• Resolve claims that require pre-bill resolution  
• Resolve payment denials 
• Oversee billing-related inventories in multiple systems, ensuring inventory volume and aging remains within thresholds 
• Conduct reconciliation processes, ensuring no charge goes uncaptured 
• Manage communications between practice and vendor staff and organizations 
• Reports status of various revenue cycle metrics and escalates issues for resolution. 
• Assists in preparation of reports to share with payers when discrepancies are uncovered. 

What you’ll need:  

• High school diploma or GED preferred    
• A passion and proficiency for medical billing, coding, and terminology 
• Knowledge of ICD-10 and CPT codes, and modifiers 
• Experience with medical office procedures and medical collections  
• Comfort with electronic medical records systems (Athena knowledge is a bonus, Hybrid Chart familiarity is the cherry on top) 
• Strong attention to detail and accuracy in data entry  
• Intermediate knowledge of Microsoft Word and Excel  
• Excellent communication skills to interact with patients, insurance companies, and healthcare providers  

Work Location: 
Remote: Colorado (Denver preferred), Delaware, Florida, New Hampshire, New Jersey, Pennsylvania, Texas. 

Additional Information 
Full-time base hourly rate of $20.00 to $24.00 per hour plus medical, dental, and vision.