Diagnostic Radiology Coder-Fully Remote Position
- Analyzes medical records to abstract clinical data by assigning codes from patient records in accordance with the coding classification systems of ICD-10-CM and/or CPT, HCPCS.
- Review patient encounters for accurate code assignment of all relevant diagnoses and procedures and/or modifiers.
- Review and check for CCI bundling edits as well as NCD/LCD edits.
- Enter appropriate codes into the client’s coding program for the transfer of data to billing files for reimbursement.
- Queries manager when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
- Applies guidelines as indicated through the Local Coverage Determination (LCD), National Coverage Determination (NCD), as well as the National Correct Coding Initiative (CCI) as set for the by the client.
- Resolves claim and billing edits as well as denials by performing second review of medical record documentation and code assignments. Review and provide resolution of edits/warnings. You will assign codes to medical diagnoses and procedures using appropriate coding classifications for assigned areas/record types.
- Communicates with department manager on coding, compliance, and documentation issues.
- Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.
- Enhances coding knowledge and skills with continuing education activities and by reviewing pertinent literature.
- Within the scope of the job, requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision.
- Follows guidelines for each project as set by the client.
- 3-5 Years Diagnostic Radiology Coding experience
- 3M experience a plus
- Audit scored at 95% or better
- Maintain a production rate of 90% or higher
- Maintain strict confidentiality/follow HIPAA rules
- RCC, CPC or CCS-P or equivalent certification
- Possess moderate knowledge of level 1&2 modifiers
- Radiology coders must be able to code the following modalities: Level I, Duplex and Doppler ultrasounds, CT’s/CTA’s, MRI’s and Nuclear medicine at a minimum
- Ability to examine documents for accuracy and completeness
- Ability to understand and follow compliance issues of moderate complexity
- Detail-oriented with the ability to identify and resolve problems
- Must possess moderate knowledge of CCI edits and LCDs and be able to accurately apply regulation knowledge to coding situations
- Ability to communicate clearly and work effectively with co-workers
- Conduct self in an ethical, honest, and professional manner
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