Medical Coder

Roles & Responsibilities :

Coding Radiology Procedures:

• Accurately assign ICD-10, CPT, modifiers and HCPCS codes to radiology procedures, including diagnostic imaging, interventional radiology, and nuclear medicine.
• Review clinical documentation to ensure it supports accurate coding and billing.
• Identify discrepancies between the clinical documentation and coding and communicate with the healthcare providers for clarification.
• Compliance and Regulatory Adherence:
• Ensure coding practices comply with Medicare, Medicaid, insurance carriers, and other regulatory entities.
• Stay current with coding updates, changes to healthcare regulations, and payer-specific requirements.

Billing and Reimbursement Support:

• Work closely with the billing department to ensure proper reimbursement for services rendered.
• Provide support to resolve billing issues related to denied or underpaid claims.
• Analyze coding data and trends to identify opportunities for process improvements.

Quality Assurance and Continuous Improvement:

• Perform routine audits on radiology coding to ensure accuracy and compliance with industry standards.
• Participate in continuous education to stay up-to-date with coding practices, including attending webinars, workshops, and certification renewal programs.

Skills & Abilities:

• Exceptional attention to detail and accuracy in medical coding.
• Strong knowledge of anatomy, physiology, and radiological procedures.
• In-depth understanding of payer-specific billing requirements and insurance policies.
• Ability to work independently and manage multiple priorities with efficiency.
• i cellent communication skills (both written and verbal).Ski

Preferred candidate profile

Certification as a Certified Professional Coder (CPC) or Non CPC