Subject Matter Expert

Primary Responsibilities:

• Design and deliver accuracy, knowledge update for coding professionals on Radiology coding practices, covering CPT, ICD-10-CM, HCPCS, NCCI edits
• Keep up to date with changes in coding guidelines (CMS, AMA, AHA coding clinics) and integrate them into team communication
• Prepare accurate reports, maintain accurate records
• Track assessment scores, coding performance through audits, quality reviews, providing detailed feedback and guidance
• Participate in coding calibration meetings and contribute to coding related discussions
• Support coders with complex case resolution, documentation improvement education, and coding clarification
• Collaborate with the compliance, QA and operations teams to identify coding gaps and ensure continuous improvement
• Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so

Required Qualifications:

• AAPC/AHIMA Certification: CPC, CIC, CCS, COC
• 5+ years of hands-on radiology medical coding experience
• In-depth understanding of Radiology guideline changes and CMS documentation
• Solid understanding of medical terminology, anatomy, and physiology
• Solid knowledge of US healthcare RCM system
• Familiarity with EMR/EHR, compliance standards, auditing platforms
• Proficiency in coding software and EHR systems (EPIC. eCAC, 3M, Cerner etc.)
• Proficiency in using training software and tools
• Proven excellent attention to detail and accuracy in coding and documentation
• Proven excellent communication and presentation skills
• Proven solid organizational and time management skills
• Proven analytical thinking

Preferred Qualification:

• Bachelors degree in health information management, life science or a related field