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Trajectory RCS, LLCTL

Medical Coding Specialist - ASC Cardiology Coder

Trajectory RCS is a healthcare revenue cycle management company that optimizes cash flow for providers by integrating business processes and clinical documentation. It was acquired by MedHQ in 2024.

Trajectory RCS, LLC

Employee count: 51-200

United States only

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.

Position Summary

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.

Key Responsibilities

  • 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).

Qualifications

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) 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.

About the job

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Job type

Full Time

Experience level

Mid-level

Location requirements

Hiring timezones

United States +/- 0 hours

About Trajectory RCS, LLC

Learn more about Trajectory RCS, LLC and their company culture.

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At the forefront of healthcare financial technology, Trajectory RCS is revolutionizing revenue cycle management (RCM) for medical providers across the United States. Through the innovative integration of sophisticated business office processes and meticulous clinical documentation, the company is engineering a new paradigm for optimizing healthcare cash flow. This pioneering approach has a proven track record of significantly reducing accounts receivable days and claim denials while simultaneously boosting self-pay collections and the overall percentage of charges collected. Trajectory RCS leverages repeatable best practices, continuous documentation improvement, and patient-centric collection strategies to navigate the complex and often convoluted healthcare reimbursement landscape. The company's core mission is to ensure that healthcare providers are compensated for every appropriate penny of the quality care they deliver, counteracting the industry's trend of increasing regulatory and administrative burdens that hinder profitability.

In a strategic move to amplify its impact and scale its innovative solutions, Trajectory RCS was acquired by MedHQ in August 2024. This acquisition marks a significant milestone, combining Trajectory's specialized RCM expertise with MedHQ's comprehensive suite of advisory and administrative services. The synergy between the two entities empowers a broader range of healthcare organizations—from small hospitals and physician groups to ambulatory surgery centers and outpatient clinics—to achieve unparalleled financial health and operational efficiency. By joining the MedHQ family, which includes over 150 dedicated team members, Trajectory RCS is better positioned than ever to drive value, foster client satisfaction, and continue its trajectory of innovation in the ever-evolving healthcare sector. This collaboration is built on a shared commitment to exceptional customer service and a culture that values respect, innovation, trust, and energy.

Employee benefits

Learn about the employee benefits and perks provided at Trajectory RCS, LLC.

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401K matching

4.5% 401K matching

Short term disability

Short term disability

Generous paid time off

Generous paid time off

Employer sponsored Dental

Employer sponsored Dental

View Trajectory RCS, LLC's employee benefits
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Trajectory RCS, LLC

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