
Revenue Cycle Coding Specialist
3 days ago
We are seeking a skilled Medical Coding Specialist to join our team. As a key member of our revenue cycle management department, you will play a crucial role in ensuring accurate coding and billing for diagnostic imaging studies while maintaining compliance with US healthcare regulations.
- Job Description:
- In this position, you will review and reconcile CPT, ICD-10, and HCPCS codes for radiology studies, ensuring 99%+ accuracy rates.
- You will analyze radiology reports and ensure proper coding compliance with CMS guidelines and payer-specific requirements.
- Your responsibilities will also include conducting regular audits of coded studies to maintain high-quality standards and identifying areas for improvement.
- Additionally, you will ensure adherence to HIPAA, CMS regulations, and facility-specific billing protocols.
- Education & Certification:
- Bachelor's degree in Accounting, Finance, Business Administration, Healthcare Administration, or related field.
- CPC certification from AAPC (American Academy of Professional Coders).
- Additonal certifications in radiology coding (CPC-A, CIRCC) - Preferred.
- Professional Experience:
- 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.
- Technical Skills:
- 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).
- Database Management: Experience with SQL queries and database management - Preferred.
- Competitive Compensation:
- Performance-based increases and annual salary reviews.
- Shift allowances for non-standard hours.
- Comprehensive Benefits Package:
- Health Insurance: Medical coverage for employee and family.
- Paid Time Off: Generous leave policy including vacation, sick leave, and personal days.
- Flexible Work Arrangements: Hybrid work options and flexible shift timings.
- Professional Development: Training budget for continuing education and certifications.
- Career Advancement: Clear promotion pathways within RCM and Finance departments.
- Senior CPC Coder (12-18 months).
- RCM Team Lead (2-3 years).
- RCM Supervisor/Manager (3-5 years).
- Director of Revenue Cycle Operations (5+ years).
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