Coder-ASC CIRCC Certified Coder
About the job
- ASC–CIRCC certification is required.
- A high school diploma or equivalent is required.
- Two to three years of hands-on coding experience in cardiovascular and/or interventional radiology coding is required.
- Strong knowledge of Current Procedural Terminology, International Classification of Diseases, 10th Revision, Clinical Modification, Healthcare Common Procedure Coding System, and modifier usage is required.
- Familiarity with ambulatory surgery center billing and outpatient reimbursement methodologies is required.
- Understanding of National Correct Coding Initiative edits, Medically Unlikely Edits, and payer-specific coding guidelines is required.
- Applicants must be legally authorized to work in the United States.
- The role requires attention to detail and accuracy.
- The role requires analytical and problem-solving skills.
- The role requires the ability to interpret complex operative reports.
- The role requires effective written and verbal communication skills.
- The role requires the ability to work independently and manage multiple priorities.
- The role requires adherence to ethical coding and compliance standards.
- Assign accurate Current Procedural Terminology, International Classification of Diseases, 10th Revision, Clinical Modification, and Healthcare Common Procedure Coding System Level II codes for cardiovascular and interventional radiology procedures.
- Apply correct modifiers in accordance with payer and regulatory guidelines.
- Review operative reports, procedure notes, and supporting documentation to ensure coding accuracy and completeness.
- Ensure compliance with Centers for Medicare & Medicaid Services, National Correct Coding Initiative, Medicare, Medicaid, and commercial payer rules specific to ambulatory surgery center and outpatient services.
- Identify documentation deficiencies and query providers when clarification is required.
- Support charge capture processes and resolve coding-related denials or rejections.
- Participate in internal and external audits, respond to audit findings, and implement corrective actions.
- Stay current with coding updates, Current Procedural Terminology changes, payer policies, and regulatory requirements related to cardiovascular and interventional radiology coding.
- Collaborate with billing, compliance, and revenue cycle teams to optimize reimbursement while maintaining compliance.
- Maintain productivity and accuracy standards defined by the organization.
- An associate or bachelor’s degree is preferred.
- Additional coding credentials such as Certified Professional Coder or Certified Coding Specialist are preferred.
- Experience with electronic health records and coding or billing software is preferred.
- Prior experience in an ambulatory surgery center or hospital outpatient department is preferred.
- Audit or compliance experience related to cardiovascular or interventional radiology coding is preferred.
About the company
MedHQ provides technology-enabled administrative and consulting services for the outpatient healthcare sector, including HR, accounting and finance, revenue cycle management, staffing, and advisory services. Its offerings are delivered through a tech-enabled platform with payroll, benefits administration, financial reporting, accounts payable automation, medical coding, denial management, and staff recruitment for clinical and non-clinical roles. MedHQ differentiates itself by targeting outpatient providers with end-to-end outsourcing and advisory support, and by expanding capabilities through acquisitions like Becker Health, Avanza Healthcare Strategies, and Trajectory Revenue Cycle Services. Its goal is to streamline administrative and regulatory processes so healthcare providers can focus on patient care while scaling their outpatient operations.
Company Size
51-200
Company Stage
N/A
Total Funding
N/A
Headquarters
Westchester, Illinois
Founded
2002
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Simplify's Take
What believers are saying
- Erik Miller becomes CEO in early 2025, extending the 2024 transition plan.
- Steve Mason became COO in July 2025, strengthening operational discipline.
- MedHQ keeps adding scale, with Trajectory RCS expanding revenue-cycle and outpatient reach.
What critics are saying
- MedHQ still depends on acquisition integration, including Trajectory's 150-plus employees, through 2025.
- Employee reviews show 2.3-star ratings, signaling retention and culture problems.
- A CEO handoff and new COO in 2025 create execution risk during expansion.
What makes MedHQ unique
- MedHQ spans HR, finance, revenue cycle, staffing, and advisory across outpatient care.
- 424 Capital backed MedHQ in 2022, funding roll-up execution and service expansion.
- Trajectory RCS and Physician Focus broadened physician, ASC, and hospital workflow coverage.
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Benefits
Health Insurance
Dental Insurance
Vision Insurance
Accidental Death and Disability insurance
Disability Insurance
401(k) Company Match
Flexible Spending Account
Paid Vacation
Remote Work Options
Professional Development Budget
Growth & Insights and Company News
6 month growth
-14%1 year growth
-14%2 year growth
-14%Avanza + MedHQ, a US provider of advisory, management, and administrative services to hospitals, ambulatory surgery centres, and physicians, has acquired Fulcrum Strategies, an independent payer contracting firm. The deal adds a dedicated payer contracting service to its platform. Founded in 2004 by Ron Howrigon, Fulcrum has represented more than 5,000 providers in health plan negotiations. It has secured over $100 million in rate increases and supports more than 100 clients on contracts worth over $1 billion. Howrigon, a former manager at Kaiser Permanente, Cigna HealthCare, and Blue Cross Blue Shield, will lead the new Payer Relations and Contracting service line. "Our clients have been clear that they need more support here," said chief executive officer Erik Miller.
Erik Miller, President, will assume CEO role in early 2025; founder Tom Jacobs continues as board member and senior advisorWESTCHESTER, Ill., Dec. 19, 2024 /PRNewswire/ -- MedHQ, healthcare's leading provider of advisory and administrative solutions to hospitals/health systems, outpatient healthcare/ambulatory surgery centers, and physicians/provider groups throughout the United States, has announced the company's President, Erik Miller, will assume the CEO role in early 2025.Miller joined MedHQ in 2023. "Erik has played an instrumental role in broadening MedHQ' s reach and integrating service lines," says Founder Tom Jacobs. "His transition to CEO has been in process for more than a year, and we are excited to see Erik and the rest of the MedHQ team lead the company in its next phase of growth."Kyle Stanbro, Partner at 424 Capital, adds, "Erik's leadership, combined with his strategic vision and results-driven approach, uniquely positions him to lead MedHQ to even greater success. We are excited to see MedHQ continue to expand its impact under his guidance."Jacobs founded MedHQ in 2003 as a mission-critical provider of human resources and financial management services for healthcare organizations. The company partnered with 424 Capital in 2022 to accelerate MedHQ's growth and expand its service offering."I am honored to lead MedHQ and its incredibly talented team at such an exciting time in the company's journey," says Miller
MedHQ has acquired Trajectory Revenue Cycle Services (Trajectory RCS) to expand its healthcare advisory and administrative solutions. Trajectory RCS, based in Wichita, Kansas, is known for its collaborative revenue cycle management and strong ROI for healthcare providers. This acquisition adds over 150 team members to MedHQ, enhancing its capacity to serve physicians, outpatient clinics, and hospitals. MedHQ aims to strengthen its core functions and scale its provider partnerships.
/PRNewswire/ -- MedHQ, a leading provider of human resources and financial management services to healthcare providers across the country, announced today the...