CARDIOLOGY CLINICAL DOCUMENTATION & CHARGE SPECIALIST

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 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 cardiaccath, PCI, structural heart, and/or EP coding Proficiency with Epic or comparable EHR system Strong analytical and auditing skills Preferred Background in cathlab 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. #J-18808-Ljbffr