Posted:1 week ago| Platform: Shine logo

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On-site

Job Type

Full Time

Job Description

Key Responsibilities
    • Code Analysis:

       
      Review and analyze radiology reports (e.g., X-ray, CT, MRI, Ultrasound, Nuclear Medicine) to identify and assign accurate diagnostic and procedural codes.   
  • Code Assignment:

     
    Determine and assign appropriate CPT, ICD-10, and modifier codes based on the imaging technique, location, patient position, and use of contrast.   
  • Documentation Review:

     
    Ensure that all necessary documentation and justification are present in the patient's medical records to support the assigned codes.   
  • Compliance:

     
    Ensure coding practices comply with federal, commercial, and third-party insurance guidelines, as well as other relevant regulations.   
  • Collaboration:

     
    Work with radiologists, billing staff, and auditors to clarify coding discrepancies and resolve claim denials.   
  • Regulatory Updates:

     
    Stay current with changes in coding guidelines, NCCI edits, and other relevant regulatory updates to maintain compliance.   
  • Quality Improvement:

     
    Support initiatives related to coding accuracy and quality improvement efforts.   
  • Confidentiality:

     
    Adhere to strict confidentiality and HIPAA policies to protect patient information.   
Essential Skills and Qualifications   
  • Proficiency in CPT, ICD-10-CM, and other radiology coding systems.
  • Strong understanding of radiology terminology and procedures.
  • High attention to detail and accuracy.
  • Excellent analytical and problem-solving skills.
  • Effective communication skills.
  • Relevant experience in medical coding.
  • Certification by a recognized medical coding organization, such as the AAPC.
  • Proficiency with electronic health records (EHRs) and other billing software.

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