Remote Prior Authorization Rn Jobs in Wichita, KS

Company
MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and above all excellent customer service. MedHQ, LLC, is a 2022 Becker’s Top 150 Places to Work in Healthcare company.
We believe our quality of service begins with our quality of team member. We offer exceptional benefits and working environments to exceptional employees. 

The Ambulatory Surgery Center (ASC) Cardiology Coder is responsible for accurately reviewing, interpreting, and coding outpatient cardiology and cardiovascular procedures performed in an ASC setting. This role ensures that all documentation supports the codes assigned and complies with current federal, state, and payer-specific regulations. The Cardiology Coder plays a vital role in optimizing reimbursement, maintaining regulatory compliance, and supporting the revenue cycle for the ASC’s cardiovascular services.

• Code Assignment & Review

  • Assign appropriate CPT, ICD-10-CM, and HCPCS codes for outpatient cardiology procedures, including diagnostic tests, invasive procedures, and interventional cardiology cases performed in an ASC setting.

  • Validate code selection against operative reports, procedure notes, diagnostic results, and physician documentation.

  • Apply modifiers accurately to reflect the ASC environment and ensure correct billing.

• Compliance & Quality Assurance

  • Ensure coding practices align with CMS guidelines, NCCI edits, payer-specific policies, and ASC billing rules.

  • Identify and address documentation gaps by querying physicians for clarification when necessary.

  • Participate in regular coding audits and implement corrective actions to maintain accuracy benchmarks (e.g., 95% or higher).

• Collaboration & Communication

  • Work closely with physicians, nurses, and administrative staff to resolve coding-related issues.

  • Provide feedback and education to clinical staff on documentation improvement for cardiology-specific services.

  • Support the billing department with claims-related coding inquiries and appeals.

• Professional Development

  • Maintain up-to-date knowledge of coding guidelines, cardiovascular procedures, and ASC-specific regulations.

  • Participate in continuing education and attend training sessions as required to retain certification(s).

Education & Certification

• High school diploma or equivalent required; Associate’s degree in Health Information Management or related field preferred.

• Certification required: CPC (Certified Professional Coder), COC (Certified Outpatient Coder), or CCS-P (Certified Coding Specialist – Physician-based).

• Specialty certification in cardiology coding (e.g., CCC – Certified Cardiology Coder, CIRCC-Certified Interventional Radiology Cardiovascular Coder) preferred.

Experience

• Minimum of 2–3 years of outpatient coding experience, with at least 1 year focused on cardiology or cardiovascular procedures.

• Familiarity with ASC billing rules and payer guidelines for outpatient surgical centers.

• Strong knowledge of cardiovascular anatomy, terminology, and procedural techniques.

Skills & Competencies

• Proficient in CPT, ICD-10-CM, and HCPCS coding systems.

• Strong attention to detail with high accuracy rates.

• Ability to interpret complex operative and procedural reports.

• Excellent communication skills for physician interaction and documentation clarification.

• Proficient with EMR/EHR systems and coding software applications.

FULL TIME BENEFITS

1. Employer sponsored Major Medical
2. Employer sponsored Dental
3. Employer sponsored Vision
4. Accidental Death and Disability insurance
5. Short term disability
6. 4.5% 401K matching
7. Flexible spending account
8. Generous paid time off

This is a remote position. 
**Applicants must be legally authorized to work in the United States. We are unable to sponsor or take over sponsorship of an employment visa at this time.

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