Profee Diagnostic Radiology Coder

Location: Remote (US Wide)

Experience Required

* 3+ years Coder work experience

* 2+ years of Oncology coding experience. EPIC/3M 360 CAC/coderyte Codeassist experience

* Knowledge of CPT, ICD-10, LCD/NCD and CCI experience.

* Understanding of how to apply modifiers correctly, global packages, and have teaching hospital experience.

* The ability to utilize their resources for coding purposes. 3M Coderyte Codeassist and EPIC experience. CTs, MRIs, Ultrasounds, Mammos, biopsies, xrays and Nuclear Med are among the diagnostic radiology procedures this coder will be reviewing and coding.

SUMMARY Analyzes medical records and abstracts clinical data by assigning codes from patient records in accordance to coding classification systems. Reviews patient encounters for accurate code assignment of all relevant diagnosis and procedures. Enters appropriate codes into the hospital's mainframe computer for the transfer of data to billing files for reimbursement. Queries physicians when code assignments are not straightforward or documentation in the record is unclear for coding purposes.

Key Functions:

1. Analyzes medical records and abstract clinical data by assigning codes (ICD10, CPT, HCPCS) from patient records in accordance with coding classification systems.

2. Reviews patient encounters for accurate code assignment of all relevant diagnoses and procedures. Exports appropriate codes from CodeRyte and/or Epic charge systems.

3. Assign appropriate modifiers, and apply guidelines as indicated through the Limited Coverage Diagnosis (LCD), as well as the National Correct Coding Initiative (CCI).

4. Meet or exceed department production and accuracy standards.

5. Queries physicians and/or departments when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes.

6. Resolves coding edits in Epic by performing second review of medical record documentation and code assignments.

7. Possess a thorough knowledge and understanding of institutional coding policies and procedures; maintains knowledge of ICD-10-CM, HCPCS and CPT-4 coding guidelines according to CMS, AMA, AHA and other official sources.