Radiology Coder
SPi Healthcare - United States

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The primary purpose of the Coder – Level 2 is to code physician charges by assigning ICD-9, CPT-4 & HCPC codes from documentation. Intermediate knowledge of level 1 & 2 modifiers is required. A Coder – Level II must have the ability to utilize multiple websites to support code assignment be able to cite supporting documentation for coding compliance issues. A Coder – Level II must possess intermediate knowledge on how to problem-solve insurance rejections and denial issues. Coders are responsible for accurate and complete coding under Compliance Guidelines. Productivity and accuracy are measured via internal audits and must be maintained.

  • Assign ICD-9, CPT-4 & HCPC codes from documentation
  • Problem-solve insurance rejections and denial issues
  • Uphold productivity standards / daily quota set by management
  • Maintain company accuracy rate of 95% in monthly internal audits
  • Effectively present coding issues to internal or external clients; deliver information in a one-on-one or small group format to peers
  • Meet deadlines and complete assignments before monthly closing dates
  • Maintain strictest confidentiality
  • Perform related work as required
  • Vocational or technical education beyond high school
  • Minimum of 1-2 years recent professional services coding experience in a high volume coding environment
  • CPC or CCS-P or equivalent certification
  • Demonstrate a good working knowledge of medical terminology, human anatomy, and coding
  • Must possess knowledge of third party reimbursement regulations and billing practices
  • Possess moderate knowledge of level 1 & 2 modifiers
  • Ability to examine documents for accuracy and completeness
  • Ability to understand and follow compliance issues of moderate complexity
  • Detail oriented with the ability to identify and resolve problems
  • Must possess moderate knowledge of CCI edits and LCDs and be able to accurately apply regulation knowledge to coding situations
  • Radiology coders must be able to code the following modalities: level I, plus duplex and Doppler ultrasounds, CT’s/CTA’s, MRI’s, nuclear medicine, and basic IR procedures
  • Multi-specialty coders must possess correct coding E&M and at least 2 other specialties
  • Able to work TES (Transaction Editing System) edits of moderate complexity
  • Ability to communicate clearly and work effectively with co-workers
  • Ability to work as a team member in all activities
  • Conduct self in an ethical, honest, and professional manner
  • Demonstrate continued willingness to learn and grow
  • Proficient in Microsoft Word, Excel
  • Must be able to work Full-Time, Monday-Friday for 40 hours a week, with optional overtime;
  • Requires the ability to travel to Tinley Park, IL (a Chicago, IL suburb) for the first week of training. SPi Healthcare will pay for all the travel arrangements required. The work following the first week will continue remotely

About this company
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SPi Healthcare (formerly Springfield Service Corporation and Laguna Medical Systems) is the industry's leading integrated revenue cycle and...