Interventional Radiology Coder

Job Type Full-time Description

 

Company Overview

nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations who trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle.

Job Overview

An Interventional Radiology Coder is responsible for reviewing and coding medical records related to IR procedures in a healthcare setting. The primary goal is to ensure accurate and compliant billing for IR services, using appropriate coding systems like the Current Procedural Terminology (CPT), International Classification of Diseases (ICD), and Healthcare Common Procedure Coding System (HCPCS). This role is essential for ensuring that healthcare providers receive proper reimbursement for services rendered and that billing is in line with regulatory standards. 

Responsibilities 

Review Medical Records

• Review and analyze patient medical records, operative reports, and physician notes to determine the correct procedure codes
• Ensure all relevant details of the surgical procedure, including diagnosis, surgical approach and complications are documented accurately

Code IR Procedures

• Assign appropriate CPT, ICD-10, and HCPCs codes and modifiers for IR procedures, diagnoses, and related services
• Ensure codes reflect the complexity and scope of the procedure performed

Maintain Compliance

• Adhere to all applicable guidelines and regulations, including those from the Centers for Medicare & Medicaid Services (CMS), the American Medical Association (AMA), and other relevant organizations
• Ensure codes are compliant with federal, state, and payer-specific requirements

Audit and Accuracy

• Perform periodic audits to check for coding errors, discrepancies, or potential issues
• Verify coding accuracy to minimize claim denials and reduce the risk of audits from insurance companies or regulatory agencies

Billable Services

• Ensure that all surgical services and related procedures are accurately billed for insurance purposes
• Collaborate with billing and insurance departments to resolve any discrepancies or issues with submitted claims

Stay Updated

• Continuously update knowledge of coding guidelines, including new codes, revisions, and changes in healthcare regulations
• Participate in ongoing training and certification programs to maintain expertise in medical coding

Communication

• Communicate with physicians, surgeons and other healthcare staff to clarify any ambiguities in medical records or documentation
• Address coding inquiries from healthcare providers or insurance companies

Requirements

• Certification: CPC (Certified Professional Coder) through AAPC, CCS (Certified Coding Specialist) through AHIMA, or a similar credential from a recognized coding body
• Experience: Two years minimum surgery coding experience
• Knowledge of Medical Terminology: Strong understanding of medical terms, anatomy, and surgical procedures
• Attention to Detail: High level of accuracy when reviewing and assigning codes to ensure proper billing and compliance
• Computer proficiency: Familiarity with electronic health record (EHR) systems and coding software

Logistics

• Remote setting
• Available during normal business hours (window between 6 am CST to 5 pm CST)