Radiology Coder/Auditor

4 days, 20 hours ago
Full-time
Senior
Operations
SimonMed Website

SimonMed Website

SimonMed Imaging: Largest outpatient physician radiology group, providing advanced and affordable medical imaging services with cutting-edge technology.

Health Care Providers & Services
1K-5K
Founded 2003

Description

  • Perform complex radiology coding and support accurate coding operations across the organization.
  • Conduct quality assurance reviews and audit work completed by external coding partners and AI-assisted coding platforms.
  • Identify opportunities to improve coding accuracy, operational efficiency, and reimbursement outcomes.
  • Collaborate with coding leadership, revenue cycle teams, vendors, and clinical partners on coding and compliance issues.
  • Support adherence to industry standards, payer requirements, and regulatory guidelines.
  • Review and resolve coding denials and claim rejections.
  • Evaluate AI-assisted coding performance and contribute to process improvement initiatives.
  • Provide coaching and support to improve coding quality and consistency.

Requirements

  • Bachelor's degree preferred or an equivalent combination of education and experience.
  • 5+ years of recent radiology coding experience.
  • Direct experience coding PET and/or Nuclear Medicine studies.
  • CPC or RCC certification required.
  • CPMA certification preferred.
  • RCC-IR certification preferred.
  • Experience conducting coding audits and quality assurance reviews.
  • Experience reviewing and resolving coding denials and claim rejections.
  • Knowledge of ICD-10-CM, CPT, HCPCS, modifiers, and radiology reimbursement methodologies.
  • Expertise in radiopharmaceutical/tracer coding, including HCPCS A-codes and Q-codes.
  • Knowledge of dosage-based unit calculations and payer-specific requirements for PET and Nuclear Medicine services.
  • Familiarity with Medicare NCD/LCD guidelines and medical necessity requirements.
  • Experience working with outsourced coding partners or vendor review programs preferred.
  • Experience with AI-assisted coding platforms such as Aideo and/or Gemini preferred.
  • Proficiency with coding, auditing, and revenue cycle technology platforms.

Benefits

  • Free whole-body scans for team members.
  • Competitive wages.
  • Medical, dental, and vision insurance.
  • 401(k) eligibility.
  • Pet insurance.
  • Paid holidays.
  • PTO.
  • Sick time.

Interested in this position?

Apply directly on the company website

Apply Now

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