Interventional Radiology Coding Auditor

3 weeks ago

Newark, United States MBMS Medical Billing and Management Services Full time
Job DescriptionJob Description

Fast paced medical billing company seeking full-time remote (certified CPC, AAPC or RCC) Interventional Radiology Coding Auditor.

Experience in Interventional radiology coding is required. The applicant applying for this position will need to be extremely knowledgeable of interventional radiology procedures and be able to code/ audit from actual procedure reports. Knowledge and understanding of interventional radiology coding guidelines and documentation requirements are a must for this IR coding auditor position.

Seeking an individual that can: work independently; is a quick learner with critical thinking skills; is resourceful with the capability of making decisions; and is able to code and audit interventional radiology procedures accurately and in a timely fashion.

*Must have Interventional Radiology coding experience. You may eventually be working with clients that perform complex endovascular and neurovascular interventional procedures (this experience is a plus)

Responsibilities and Duties include but not limited to:

  • Coding/ Auditing charges for clients that perform Interventional Radiology.
  • Review and audit for the accuracy of:
  1. Documentation to support the CPT code billed.
  2. Diagnosis Billed.
  3. Modifiers assigned.
  4. Date of Service.
  5. Provider being billed out.
  • Document issues and errors found in each client, sending back with your recommendations on code selection.
  • Resolve unreconciled visits by obtaining necessary information for coding
  • Understand insurance policies and procedures.
  • Have knowledge of LCD/ NCD policies and how to read them.
  • Have some experience with PQRS/MIPS quality measures and the purpose of the measures.
  • Communicating any errors/trends found and helping to develop a plan of action
  • Abide strictly by HIPAA law by maintaining confidentiality and only accessing information as needed for job functions
  • Resolve coding denials, analyze and identify any trends if needed.
  • Ability to answer interventional radiology coding questions from the team and/or other MBMS staff.
  • Perform other misc. tasks/ duties as needed.

Qualifications and Work Requirements

Must be certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) or as a Radiology Certified Coder (RCC) by the Radiology Coding Certification Board. *Certified in Interventional radiology preferred but not required.

We offer an excellent benefits package which includes Medical, Dental and Vision insurance as well as 401K with employer match, 7 Paid Holidays, Paid Vacation and Sick Time. There's always and opportunity for growth and advancement

Equal Employment Opportunity

MBMS, LLC is committed to ensuring equal employment opportunity. All employment decisions, policies, and practices are in accordance with applicable federal, state and local anti-discrimination laws.

MBMS, LLC will not engage in, or tolerate unlawful discrimination (including any form of harassment) on account of a person's sex, age, race, color, religion, creed, sexual preference or orientation, marital status, national origin, ancestry, citizenship, military status, veteran status, disability, genetic information or any other protected group or status.

This Policy applies to all of MBMS, LLC's officers, managers, supervisors, employees, and customers. All such individuals are both protected under and restricted by this Policy.


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