Lead Radiology Medical Coder

Role Overview: As a Lead Radiology Medical Coder, you will be responsible for reviewing, analyzing, and resolving claim denials specifically related to radiology services. Your role will involve ensuring accurate CPT, ICD-10-CM, and HCPCS coding, identifying root causes of denials, and correcting or appealing claims in accordance with payer guidelines. Collaboration with billing, compliance, and QA teams will be essential to improve coding accuracy, reduce denials, and support revenue integrity. Key Responsibilities: - Review and resolve radiology claim denials and appeals - Identify and correct coding errors, missing documentation, or payer discrepancies - Ensure compliance with CMS, AMA, and payer-specific coding guidelines - Collaborate with billing and QA teams to track denial trends and recommend process improvements - Maintain high coding accuracy and productivity standards Qualifications: - Education: Bachelors degree in health information management or related field preferred - Certification: CPC required; CRC or CCS preferred - Experience: Minimum 2+ years in radiology coding and denial management - Skills: Proficiency in CPT, ICD-10-CM, HCPCS, payer rules, and EMR/EHR systems (Epic, Cerner, Athena); strong analytical and communication skills About the company: (If any additional details of the company were mentioned in the JD, it will be included here. In this case, there were no additional details provided.) Note: Only candidates with a minimum of 2 years of experience are eligible to apply for this role. Role Overview: As a Lead Radiology Medical Coder, you will be responsible for reviewing, analyzing, and resolving claim denials specifically related to radiology services. Your role will involve ensuring accurate CPT, ICD-10-CM, and HCPCS coding, identifying root causes of denials, and correcting or appealing claims in accordance with payer guidelines. Collaboration with billing, compliance, and QA teams will be essential to improve coding accuracy, reduce denials, and support revenue integrity. Key Responsibilities: - Review and resolve radiology claim denials and appeals - Identify and correct coding errors, missing documentation, or payer discrepancies - Ensure compliance with CMS, AMA, and payer-specific coding guidelines - Collaborate with billing and QA teams to track denial trends and recommend process improvements - Maintain high coding accuracy and productivity standards Qualifications: - Education: Bachelors degree in health information management or related field preferred - Certification: CPC required; CRC or CCS preferred - Experience: Minimum 2+ years in radiology coding and denial management - Skills: Proficiency in CPT, ICD-10-CM, HCPCS, payer rules, and EMR/EHR systems (Epic, Cerner, Athena); strong analytical and communication skills About the company: (If any additional details of the company were mentioned in the JD, it will be included here. In this case, there were no additional details provided.) Note: Only candidates with a minimum of 2 years of experience are eligible to apply for this role.