Radiology Coding Specialist
4 weeks ago
The Department of Radiology at Columbia University is seeking a skilled Coding Specialist to join our team. As a key member of our coding and compliance team, you will be responsible for assessing clinical documentation reports, analyzing medical records, and abstracting ICD-10-CM/PCS, CPT, HCPCS, and modifiers for procedures supported by the health record.
Responsibilities:
- Assess clinical documentation reports submitted by physicians that support Radiology and Interventional Radiology Services in 3M and Epic.
- Analyze the medical records to abstract the ICD-10-CM/PCS, CPT, HCPCS, and modifiers for procedures supported by the health record in accordance with coding conventions.
- Code Interventional Radiology for services in 3M.
- Review charges and append appropriate evaluation and management consult codes when necessary.
- Accurately verify coding according to payer guidelines to ensure completeness with a goal of submitting clean claims to all payers.
- Access encoder software applications, including all applicable online tools, to identify appropriate codes and reference code applicability, rules, and NCCI guidelines.
- Review and update coding-related edits in EPIC on a daily basis.
- Make the necessary coding changes/corrections as requested in the edit and release charges for timely billing.
- Assists with the review of coding inquiries/denials as necessary.
- Maintain and reconcile MD Audit used for the performance of physician review through MD Audit.
- Maintain a thorough understanding of medical terminology through participation in continuing education programs to effectively apply ICD-10-CM/PCS, CPT, and HCPCS coding guidelines to inpatient and outpatient Radiology procedures.
- Maintain certified coding credentials per the certified coding requirements and demonstrate annual compliance.
- Perform other duties as assigned.
Requirements:
- Requires a Bachelor's degree or equivalent in education and experience, plus two years of related experience.
- CPC or RHIT certification is required.
- Ability to work in a fast-paced environment and simultaneously undertake multiple tasks.
- Good organizational, interpersonal, and communication skills and developed levels of discretion and confidentiality are essential.
- Must possess the ability to set priorities, meet deadlines, and take initiative.
- Experience with professional services coding and knowledge of medical terminology required.
Preferred Qualifications:
- Specialized knowledge in Radiology Interventional Coding preferred.
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