Vascular Surgery Coder
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AI Summary
The role involves reviewing and coding complex diagnostic and interventional vascular surgery medical records to ensure accurate reimbursement. Responsibilities include managing claim denials, collaborating with surgeons via queries, and maintaining compliance with federal and private payer regulations.
Benefits:
- Competitive salary
- Dental insurance
- Flexible schedule
- Health insurance
- Paid time off
- Training & development
- Vision insurance
Job Overview
We are seeking a highly detail-oriented, certified Vascular Surgery Coder to join our revenue cycle team. In this role, you will be responsible for reviewing, analyzing, and coding complex diagnostic and interventional vascular surgery medical records. Because vascular coding involves intricate anatomical pathways, component coding, and frequently changing component hierarchies, the ideal candidate must possess deep knowledge of vascular anatomy, CPT, ICD-10-CM, and HCPCS Level II coding guidelines. Your expertise will ensure accurate reimbursement, compliance, and a minimized denial rate.
Key Responsibilities
Key Responsibilities
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Complex Coding: Accurately abstract and assign ICD-10-CM, CPT, and HCPCS codes for open, endovascular, and diagnostic vascular procedures.
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Anatomical Component Coding: Correctly navigate and code complex interventional radiology and vascular surgical selectively catheterized vessels, ensuring appropriate component coding for catheter placements, imaging, and interventions.
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Documentation Review: Thoroughly review operative reports, physician notes, and diagnostic test results to ensure documentation supports the clinical severity and services rendered.
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Physician Query & Collaboration: Initiate precise, compliant queries to vascular surgeons when documentation is ambiguous, incomplete, or conflicting.
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Denial Management: Analyze, appeal, and resolve coding-related claim denials and rejections specific to vascular surgery.
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Compliance Monitoring: Stay strictly updated on NCCI (National Correct Coding Initiative) edits, LCDs (Local Coverage Determinations), and NCDs (National Coverage Determinations) to ensure absolute compliance with federal and private payer regulations.
Required Education & Certification
- High School Diploma or equivalent (Associate’s or Bachelor’s degree in Health Information Management or a related field preferred).
- Active Coding Certification: Must hold at least one of the following credentials from AAPC or AHIMA:
- CIRCC (Certified Interventional Radiology Cardiovascular Coder) — Highly Preferred
- CCC (Certified Cardiology Coder)
- CPC (Certified Professional Coder)
- CCS (Certified Coding Specialist)
Core Competencies
- Exceptional analytical skills with an eye for detail in complex operative reports.
- Strong communication skills for professional, collaborative dialogue with surgical staff.
- Ability to work independently and maintain high productivity and accuracy standards (e.g., 95% or higher accuracy rate).
This is a remote position.
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