Responsible for ensuring all charges from Diagnostic Radiology are appropriately prepared for posting to the patient's account. This role reconciles charge code exceptions daily, monitors charges released in the EMR (EPIC) for billing and coding, investigates and follows up on billing errors in work queues, and collaborates with Patient Financial Services, Revenue and Reimbursement, and the Hospital Billing Office to resolve variances.
The Medical Coding Analyst works with Imaging managers and supervisors to reconcile and track billing and coding edits and denials for imaging procedures, ensuring optimal reimbursement. The role also supports updating, initiating, and auditing revenue codes to ensure appropriate CPT codes are assigned, and reviews interventional diagnostic radiology procedures such as breast imaging, spine injections, and aspirations to confirm correct coding and reimbursement.
Education
- Certified Professional Coder (CPC) required
- Associate degree in Secretarial Science, Business, or a healthcare-related field required, or equivalent experience in a healthcare/third-party payer environment
Experience
- 3 to 5 years of experience in medical coding
- Working knowledge of third-party payer requirements, Medicare medical necessity, LCDs, and ABNs
Skills
- Excellent telephone, interpersonal, coordination, and organizational skills
- Ability to read computer screens, forms, and other documents and follow written and oral instructions
- Moderate keyboarding skills
- Ability to work in a fast-paced, changing environment
- Ability to respond professionally to stressful or unpredictable situations
- Strong communication and customer service skills
- Ability to remain calm and professional in high-stress situations
Location
Connecticut, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago