Electrophysiology Coder

Cardiology Consultants Of PhiladelphiaCardiology Consultants of Philadelphia (CCP) is a professional medical organization committed to the healing mission of Medicine and is part of a national cardiology platform, Cardiovascular Logistics (CVL). Together, we share the same mission to provide our patients with the highest quality cardiovascular care available. Join our team and be a part of an organization that is dedicated to improving patient outcomes and shaping the future of heart health.
CCP specializes in providing comprehensive cardiology care and currently has over 30 locations throughout the Philadelphia region. We are currently hiring for full-time Electrophysiology Coder (CPC) to work at our Philadelphia, PA Office.
SummaryThe Certified Professional Coder – Electrophysiology is responsible for accurate, compliant, and timely coding of the electrophysiology (EP) service line for Cardiology Consultants of Philadelphia (CCP). This is a full-time position dedicated to EP coding, with coverage of general cardiology and ancillary services as needed. The CPC reviews provider documentation and assigns ICD-10-CM, CPT, and HCPCS codes across EP studies and catheter ablations, cardiac implantable electronic device procedures, device programming and monitoring, cardioversion, and EP clinic evaluation and management services, ensuring that every service billed is supported by the clinical record and meets payer and regulatory requirements. This role works assigned coding queues to defined productivity and accuracy standards, reviews claims and coding edits prior to submission, and resolves coding-related denials and rejections in partnership with the billing and insurance follow-up team. The CPC queries providers through the established query process, participates in prospective and retrospective coding audits, and contributes to the documented provider feedback and education loop. The position requires current, working knowledge of CMS regulations, Medicare and commercial payer policy, and annual CPT, HCPCS, and ICD-10-CM updates, and performs coding within the GPMS practice management system with support for the planned transition to athenaOne. The CPC reports to the Director of Coding & Payments and is expected to work independently within documented coding policies, procedures, and workflows.
Please note that this role is entitled to a $500.00 sign-on bonus.

Key Responsibilities
Review provider documentation and assign accurate ICD-10-CM, CPT, and HCPCS codes for electrophysiology procedures, device services, and EP clinic evaluation and management visits in accordance with official coding guidelines and payer requirementsCode the full range of electrophysiology services, including diagnostic EP studies; catheter ablation for supraventricular tachycardia, atrial fibrillation and flutter, and ventricular tachycardia; pacemaker, ICD, and CRT implants, generator changes, lead revisions, and lead extractions; conduction system and His-bundle pacing; implantable loop recorder insertion and removal; left atrial appendage occlusion; device programming, interrogation, and remote monitoring; cardioversion; and tilt table testingApply evaluation and management guidelines, modifiers, global surgical package rules, NCCI and device-related bundling edits, and medical necessity requirements (LCD/NCD) accurately and consistently, including the national coverage determinations governing ICD and ablation servicesReview claims and coding edits prior to submission, identifying and resolving coding errors, missing or unbilled charges, and documentation deficiencies before the claim is releasedReconcile EP procedure and device schedules against coded and billed charges to ensure no procedure or device service goes uncapturedWork assigned coding queues to established productivity and accuracy standards, keeping uncoded and DNFB (discharged not final billed) aging within defined limits and escalating backlogs before they affect the closeQuery providers through the established query process in a compliant, non-leading manner, and escalate recurring documentation patterns to the Director of Coding & PaymentsContribute to the provider feedback and education loop by documenting coding findings and trends in the format and cadence established by the Director of Coding & Payments, so that feedback to physicians is consistent, retrievable, and auditableSupport resolution of coding-related denials, rejections, and appeals in partnership with the billing and insurance follow-up team, and identify root causes so that recurring issues are prevented rather than reworkedResearch and apply payer-specific coding, billing, prior authorization, and device coverage requirements, including any gold-card or authorization-waiver status applicable to CCP servicesMaintain current knowledge of CMS regulations, Medicare and commercial payer clinical policies, and annual CPT, HCPCS, and ICD-10-CM updates, with particular attention to the