US Radiology is one of the largest and most progressive radiology groups in the country. Our mission is to make the best of radiology better to improve lives. With over 3,100 team members and 145 outpatient imaging centers across 14 states, our team conducts nearly 6 million studies annually. US Radiology is a partnership of leading sub-specialized radiology groups, high-quality imaging centers and health systems built around a commitment to best-in-class clinical excellence, operations, infrastructure, and state-of-the-art technology. Reporting to the Director of Coding, The AR Denial Specialist/Radiology Coder will work from a tickler system to resolve denied claims for coding reasons such as medical necessity, bundling, or diagnosis inconsistent with procedure.
Essential Duties and Responsibilities: - Review radiology reports and correct CPT/ICD codes for denied claims
- Responsible for verifying that the appropriate documentation is available to the finalized reports and requesting addendums when needed.
- Works directly with follow-up personnel to answer questions regarding back-end claim denials.
- Utilize payer websites where available to reprocess and/or appeal claims
- Maintain up-to-date knowledge of governmental and managed care policies and procedures.
- Perform required daily account productivity, including accurate documentation and reporting of activity.
- Other general office tasks as assigned.
Minimum Qualifications: Education/Licensing/Certification: - High School Diploma or GED, college degree preferred
- Certified Professional Coder or Radiology Coding Certificate required
Experience (years and type): - 2-4 years' experience in a medical billing office or similar environment preferred
Knowledge and Skills: - Must have basic computer skills in Microsoft based products
- Strong organizational and multi-tasking skills
- Flexible attitude and ability to change task quickly
- Customer focused, team-oriented and a positive attitude
- Good communication skills and ability to maintain confidentiality with patient information
Preferred Knowledge: - 2 years of Radiology coding experience preferred
US Radiology provides a competitive compensation program to attract, retain, and motivate a high-performance workforce.
US Radiology is an equal opportunity employer.
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