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Medical Imaging Code Specialist
3 weeks ago
Role Overview:
We are seeking skilled radiology coding professionals to accurately assign codes for diagnostic and therapeutic radiology procedures. The ideal candidate will ensure compliance with federal regulations, payer-specific requirements, and internal quality standards.
Main Responsibilities Include:
- Reviewing and analyzing radiology reports to assign accurate diagnosis and procedure codes.
- Ensuring coding compliance in accordance with ACR, CMS, and payer guidelines.
- Coding a variety of radiology modalities including X-ray, CT, MRI, Ultrasound, Nuclear Medicine, and Radiation oncology.
- Collaborating with radiologists, billing staff, and auditors to resolve coding discrepancies.
- Staying updated with coding guidelines, NCCI edits, and regulatory changes.
- Meeting daily productivity and accuracy benchmarks as established by the department.
- Assisting in internal and external audits as needed.
Key Qualifications Include:
- Certified Professional Coder (CPC)
- Minimum of 1-2 years of hands-on experience in radiology coding (IR preferred)
- MIPS Coding is Mandatory
- In-depth knowledge of CPT, ICD-10-CM, and HCPCS Level II codes
- Familiarity with payer-specific rules and LCD/NCD policies
