Responsible for accurate and timely professional fee coding of radiology services based on provider documentation and applicable coding guidelines.
This role reviews radiology documentation and assigns appropriate CPT/HCPCS procedure codes, ICD-10-CM diagnosis codes, and modifiers for professional fee billing. The coder ensures coding accuracy, documentation integrity, medical necessity support, and compliance with CMS, AMA/CPT, NCCI, payer-specific requirements, and NorthBay standards.
The position may be performed onsite or remotely, though onsite work is preferred based on business needs. Remote candidates must be located within the continental United States, and remote work is not supported in Washington, Ohio, Wyoming, North Dakota, Puerto Rico, or the U.S. Virgin Islands.
Primary duties include:
- Reviewing radiology reports and related clinical documentation to assign accurate CPT/HCPCS and ICD-10-CM codes
- Applying appropriate modifiers and professional component coding requirements
- Coding diagnostic imaging services such as radiography, CT, MRI, ultrasound, mammography, nuclear medicine, PET, and fluoroscopy
- Validating that documentation supports the procedure, diagnosis, medical necessity, and billed service
- Resolving coding edits and work queue items to support timely claim submission
- Escalating documentation deficiencies, conflicting information, and complex coding questions through established processes
- Maintaining coding accuracy, productivity, and compliance with departmental standards
- Collaborating with coding leadership, providers, and revenue cycle teams on documentation and coding issues
- Supporting coding education, workflow updates, and continuous improvement efforts
Qualifications
- Associate’s or bachelor’s degree preferred
- Radiology-specific coding education or specialty certification preferred
- Must hold one of the following credentials: CPC, CCS-P, CCS, or COC
- Minimum 3 years of professional radiology coding experience
- Strong knowledge of professional fee radiology coding, including CPT/HCPCS, ICD-10-CM, modifiers, and professional component requirements
- Strong understanding of anatomy, physiology, medical terminology, radiology terminology, and disease processes
- Knowledge of official coding guidelines, CMS, AMA/CPT, NCCI, and payer-specific requirements
- Proficiency with EHR systems, encoders such as 3M, coding/billing work queues, and Microsoft Office
- Ability to work independently with high accuracy and maintain professionalism under deadlines and shifting priorities
- Strong communication skills and ability to collaborate with coders, providers, leadership, and revenue cycle teams
Benefits and perks
- Medical, dental, and vision insurance
- Life, disability, and long-term care coverage
- Paid time off, including vacation, sick leave, holidays, and bereavement
- 403(b) retirement plan with employer match
- Education reimbursement for eligible roles
- Professional development and training programs
- Employee Assistance Program
- Wellness programs
- Recognition programs
- Shift differentials
- Market-based compensation review and increases subject to approval and organizational performance
Location
California, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
1 month ago