Radiology Coder Specialist

Job Title: Radiology Coder Specialist

This is an exciting opportunity to join our Revenue Cycle Management team as a skilled radiology coder specialist. In this critical role, you will be responsible for ensuring accurate coding and billing for diagnostic imaging studies while maintaining compliance with US healthcare regulations.

Key Responsibilities:

• ">
• Coding Review & Validation: Review and reconcile CPT, ICD-10, and HCPCS codes for radiology studies ensuring 99%+ accuracy rates">
• Documentation Analysis: Analyze radiology reports and ensure proper coding compliance with CMS guidelines and payer-specific requirements">
• Quality Assurance: Conduct regular audits of coded studies to maintain high-quality standards and identify areas for improvement">
• Regulatory Compliance: Ensure adherence to HIPAA, CMS regulations, and facility-specific billing protocols">
• Invoice Management: Prepare, compile, and submit accurate invoices to partner healthcare facilities based on contracted fee schedules">
• Reconciliation: Validate invoice line items against study volumes, modality types, and applicable reimbursement rates">
• Payment Tracking: Monitor invoice submission status, follow up on approvals, and track payment receipts through completion">
• Collections Support: Assist in resolving payment delays, rejected claims, and coding-related billing issues">

Requirements:

• ">
• Bachelor's degree in Accounting, Finance, Business Administration, Healthcare Administration, or related field">
• CPC Certification from AAPC (American Academy of Professional Coders)">
• Additional certifications in radiology coding (CPC-A, CIRCC) preferred">
• Minimum 3 years of hands-on experience in US medical billing and coding">
• Radiology billing experience strongly preferred (CT, MRI, X-ray, Ultrasound, Nuclear Medicine)">
• Proven track record of maintaining high coding accuracy (95%+ preferred)">
• Experience with denial management and appeals processes">
• Advanced proficiency in Microsoft Excel (VLOOKUP, pivot tables, macros, advanced formulas)">
• Billing Software Experience: Proficiency with RCM platforms such as Kareo, AdvancedMD, eClinicalWorks, Epic, Cerner, or similar systems">
• EDI Knowledge: Understanding of electronic data interchange formats (837P, 837I, 835, 277, 276)">
• Databases Management: Experience with SQL queries and database management">

Benefits:

• ">
• Competitive compensation package with performance-based increases and annual salary reviews">
• Comprehensive benefits package including health insurance, paid time off, flexible work arrangements, and professional development opportunities">
• Modern workspace with state-of-the-art office facilities and latest hardware and software tools">
• Team building and wellness programs including fitness memberships and mental health support">
• Opportunities for career advancement and skill development within the company">

About Us:

We are a rapidly expanding company committed to innovation and growth. Our collaborative environment values expertise and professional development, and we recognize the importance of diversity and inclusion.

Application Instructions:

1. ">
2. Submit your updated resume highlighting relevant RCM experience">
3. Demonstrate knowledge of radiology billing in your cover letter">
4. Provide copies of CPC certification and relevant credentials">
5. Include references from previous healthcare billing roles">
6. Prepare for technical assessments and interviews">

Contact Information:

Please note that we do not disclose contact information or application deadlines publicly. Qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability status, or any other characteristic protected by law.

Start Date: Immediate