Professional Coding Specialist II – Interventional Radiology

This is a fully remote position, open to applicants in United States.

📋 Description

• Review surgical documentation and accurately assign ICD-10, CPT, HCPCS, and modifier codes for intricate interventional radiology and surgical procedures.

• Implement national coding standards, as well as AMA and CMS conventions, CCI/MUE edits, LCDs, and NCDs.

• Work collaboratively with relevant personnel and physicians to address documentation deficiencies and expedite account resolution.

• Code and/or audit complex surgical procedures within designated specialty areas.

• Analyze medical records to identify diagnoses and procedures that influence inpatient stays and outpatient encounters.

• Ensure quality and timely coding, charging, and abstraction of assigned accounts.

• Enhance and maintain coding expertise through quality reviews, clinical in-services, seminars, meetings, reference materials, and updates to coding manuals.

• Examine data for the accurate and timely preparation of clean bills.

• Reach out to physicians and other personnel to gather necessary information for precise coding and facilitate billing processes.

• Monitor provider documentation, conduct coding audits, and offer provider education as required.

• Support Revenue Cycle Operations in claim development and resolving problem patient accounts.

• Investigate reimbursement details to address missing charges and problematic accounts.

• Engage with providers to enhance correct coding initiatives and maintain proficiency in coding and sequencing guidelines.

⛳️ Requirements

• High School Diploma or Equivalent.

• Current HIM/Coding Certification through AHIMA or AAPC.

• Must obtain Specialty Medical Coding Certification through AAPC within one year of hire.

• Minimum of three years of medical coding experience, including at least one year in advanced surgical coding.

• Knowledge of anatomy, physiology, and medical terminology.

• Capability to maintain focus and accuracy amid constant interruptions.

• Independent decision-making skills.

• Proficiency in prioritizing tasks and managing high-stress environments.

• Ability to adapt to changes in the workplace and organize assigned tasks effectively.

• Exceptional written and verbal communication abilities.

• Capability to meet established quality and productivity benchmarks.

• Ability to sit for extended periods, utilize computer and office equipment, and lift, push, or pull 10–20 pounds.

• AAPC or AHIMA certification is required.

🏝️ Benefits

• Competitive salary and comprehensive benefits package.

• Opportunities for professional development and continuing education.

• Supportive work environment with a focus on teamwork and collaboration.