Charge Entry & Coding Specialist (PT)

ABOUT: Cardiovascular Services of America (CVAUSA) is the largest private and independent cardiology network in the United States. Our inclusive and diverse network brings together top cardiovascular specialists and thought leaders who offer regional perspectives and a broad strategic vision for the future of patient care.

WHO WE ARE AND WHAT WE DO:

Headquartered in Orlando, Cardiovascular Associates of America aims to bring the best cardiovascular physicians in one network with the common mission of saving lives, reducing costs, and improving patient care through clinical innovation. Through CVAUSA’s physician\-centered practice management model, physicians drive clinical care and their practice culture, while benefiting from the business expertise and shared resources available through CVAUSA for better patient outcomes. Our practices are located

Position Summary

The Charge Entry \& Coding Specialist is responsible for the accurate and timely entry of professional charges, validation of coding elements, and preparation of claims for submission to payers. This role ensures services provided are properly documented, coded, and billed in compliance with payer guidelines and regulatory requirements.

The position works closely with clinical teams, coding resources, and revenue cycle leadership to support accurate charge capture, minimize billing edits and rejections, and maintain strong first\-pass claim

acceptance rates.

Duties and Responsibilities

Accounts Receivable Management

• Monitor assigned A/R work queues to ensure timely follow\-up on outstanding claims.
• Review unpaid claims and identify root causes of delayed reimbursement.
• Prioritize accounts based on aging, payer requirements, and financial impact.
• Document follow\-up activity and claim status updates within the practice management system.
• Escalate complex or high\-value accounts as needed to leadership.

Charge Entry \& Coding Validation

• Enter professional/facility charges into the practice management system accurately and within

established timelines.

• Validate CPT, HCPCS, modifiers, and ICD\-10 codes for completeness and accuracy prior to claim submission.
• Confirm correct rendering provider, location, and place of service are applied to charges.
• Review clinical documentation to ensure billed services are supported by the medical record.
• Identify and escalate documentation or coding discrepancies to coding or clinical staff as needed.

Billing \& Claim Submission

• Prepare and submit claims to payers in accordance with established billing schedules.
• Review system edits and claim scrubbing alerts prior to claim submission.
• Resolve claim edits, missing information, or data inconsistencies to prevent claim rejection.
• Ensure claims meet payer requirements for medical necessity and coding guidelines.
• Monitor charge lag and support timely claim generation.

Compliance \& Revenue Integrity

• Ensure charge capture and billing practices align with payer regulations and compliance

standards.

• Maintain accurate documentation of charge corrections or adjustments.
• Support internal audits and compliance reviews as needed.
• Identify opportunities for process improvement to reduce errors and improve claim acceptance

rates.

Performance Accountability/Key Performance Indicators

• Charge Entry Accuracy Rate
• Timeliness of Charge Entry and Claim Submission
• Claim Rejection and Edit Rate
• First\-Pass Claim Acceptance Rate (First\-Pass Yield)
• Rework or Correction Rate

Qualifications and Skills

Education

• High school diploma or equivalent required
• Associate degree in Health Information Management, Healthcare Administration, or related field

preferred

• Certified Professional Coder (CPC) certification required

Experience

• Minimum of two (2\) years of professional coding experience in a physician practice or healthcare revenue cycle environment required
• Experience coding cardiology services strongly preferred, including diagnostic testing, E\&M

services, and cardiovascular procedures

• Experience coding services performed in an Ambulatory Surgery Center (ASC) environment to

include facility coding preferred

• Experience with charge entry and claim preparation within a practice management system

(AthenaOne, NextGen, eClinicalWorks, or similar) preferred

• Familiarity with payer billing requirements, modifier usage, and claim edit resolution preferred

Knowledge \& Skills

• Knowledge of medical billing processes and revenue cycle workflows
• Strong understanding of CPT, HCPCS, ICD\-10 coding structures and modifier usage
• Demonstrated experience reviewing clinical documentation and applying accurate CPT, ICD\-10, and modifier coding in accordance with payer and regulatory guidelines
• Ability to interpret physician documentation and diagnostic reports to determine appropriate

coding and charge capture

• Experience resolving claim edits related to coding accuracy, medical necessity, and modifier

usage prior to claim submission

• Working knowledge of payer guidelines, NCCI edits, and medical necessity requirements

affecting reimbursement

THIS IS A PART\-TIME REMOTE POSITION WITH PREFERENCE TO EST OR CST.

Part\-time position 24 hours per week (8 hours per day\-3 days a week or 6 hours per day\-4 days a week)

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