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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