Job Description
Coding and QA Specialist
Location Remote
Employment Type Full-time (30+ hrs/week)
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PRACTICE OVERVIEW
Radiology Partners is the largest and fastest growing on-site radiology practice in the US. We are an innovative practice focused on transforming how radiologists provide consistently exceptional services to hospitals, imaging centers, referring physicians and patients. With our state-of-the art clinical technology, specialized expertise, access to capital, and retention of top physician talent, Radiology Partners reliably exceeds the expectations of our clients, patients, and partners. We serve our clients with an operational focus, and, above all, a devotion to quality patient care. Our mission is To Transform Radiology.
POSITION SUMMARY
Radiology Partners is seeking a Coding and QA Specialist to represent Radiology Partners by coding and correcting reports. Accurate coding of reports will provide customer satisfaction throughout the claim process and assure full collections for account resolution, providing the company with a firm foundation for growth potential and ensuring sustainability.
POSITION DUTIES AND RESPONSIBILITIES
• Assign ICD and CPT codes to properly identify the procedures performed, while following Correct Coding Initiative and Medicare Local Coverage of Determination & NCD edits and Managed Care payer edits as needed, to ensure accurate coding for services.
• Review charges coded by vendor or autocoder, identifying coding or logic errors and sharing with Supervisor.
• Work with Supervisor, the Coding Team and outsource vendor to resolve coding issues.
• Review and correct coding denials, identifying trends in payer requirements and communicate findings back to Supervisor for coder education.
• Work with AR team to ensure denials are processed correctly.
• Process claim rejections from clearinghouse related to coding.
• Maintain regulatory compliance by staying abreast of current trends and regulations in the financial and healthcare industries.
• Promote a culture that reflects the organization’s values, encourages good performance, and enhances productivity.
• Contribute to team effort by accomplishing related results as needed.
• Perform other duties as assigned.
DESIRED PROFESSIONAL SKILLS AND EXPERIENCE
• High School diploma or General Education Degree (GED) highly preferred or two years related experience and/or training
• Certification through the American Health Information Management Technician (AHIMA) as one of the following: Registered Health Information Management Technician (RHIT), Registered Health Information Management Technician (RHIA), Certified Coding Specialist (CCS), or Certified Coding Specialist-Physician Based (CCS-P), or certified through the American Association of Procedural Coders (AAPC) as a Certified Professional Coder (CPC)
• Intermediate computer proficiency is required in this role
• At least one year of Radiology coding and Interventional Radiology coding experience is necessary for this position
• Oncology Coding experience a plus
• Excellent communication skills and attention to detail
• Ability to deal with problems involving a few concrete variables in standardized situations
• Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources
• Must have knowledge of ICD-10 and CPT
Radiology Partners is an equal opportunity employer. We believe in creating and celebrating a culture of belonging and are committed to creating an inclusive environment for all teammates.