CARDIOLOGY CLINICAL DOCUMENTATION & REVENUE INTEGRITY SPECIALIST

Why Beebe?

Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence.


In addition to competitive compensation and wellness benefits (medical, dental, vision, and prescription) Beebe Healthcare also offers:

• Tuition Assistance up to $5,000
• Paid Time Off
• Long Term Sick accrual
• Employer Contribution Plan
• Free Short and Long-Term Disability for Full Time employees
• Zero copay for drugs on prescription plan for certain conditions
• College Bound 529 Savings Plan
• Life Insurance
• Beebe Pers via WorkAdvantage
• Employee Assistance Program
• Pet Insurance

Overview

The Cardiovascular Charge Capture Specialist is responsible for ensuring complete, accurate, and compliant charge capture, code validation, and identifying revenue opportunities for all cardiac procedural services. This role bridges clinical documentation, implant utilization, and billing processes to prevent revenue leakage, mitigate compliance risk, and ensures appropriate reimbursement. This position serves as the internal departmental revenue authority, partnering with clinical leadership, supply chain, and outsourced revenue cycle teams to ensure procedural documentation and charges align with regulatory and payer requirements


Responsibilities

Charge Capture & Reconciliation

• Perform daily reconciliation of procedure logs to charges
• Validate all diagnostic and interventional CPT code assignment
• Ensure implantable devices and supplies are captured accurately
• Reconcile implant logs with patient accounts
• Monitor add-on codes, modifiers, and device-specific billing requirements
• Audit missed charges and initiate correction workflows

Documentation Optimization

• Review physician documentation for procedural completeness
• Identify trends in documentation deficiencies and provide feedback
• Partner with CV leadership to improve real-time documentation workflows in Epic
• Recommend documentation template improvements
• Collaborate with Epic analysts to ensure charge triggers are functioning correctly
• Educate physicians and staff on documentation elements required for optimal reimbursement

Compliance & Regulatory Oversight

• Collaborate with revenue integrity team to monitor adherence to CMS and commercial payer requirements
• Support internal and external audits
• Identify potential overbilling or underbilling risks
• Maintain up-to-date knowledge of cardiovascular coding updates and regulatory changes

Financial & Operational Reporting

• Develop monthly revenue integrity dashboards including:
  • Charge lag
  • Implant reconciliation discrepancies
  • Coding denial trends and action plans
• Presents findings to Director and procedural leadership

Vendor & Third-Party Coordination

• Serve as primary liaison to outsourced revenue cycle team
• Ensure timely response to departmental coding/documentation queries
• Assist in managing appeals related to cardiovascular procedures

Qualifications

Required:

• Cardiovascular charge capture and coding experience
• Strong knowledge of cardiac cath, PCI, structural heart, and/or EP coding
• Proficiency with Epic or comparable EHR system
• Strong analytical and auditing skills

Preferred:

• Background in cath lab clinical operations (RN, RCIS, or CVT)
• Experience with implant-heavy procedural areas
• Familiarity with cardiovascular registries (e.g., NCDR)
• Knowledge of payer contract reimbursement methodologies

Credentials

• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent required.

Education

• AA degree in a related field or equivalent

Entry

USD $61,172.80/Yr.


Max

USD $94,827.20/Yr.