Invasive Coding Analyst (Imaging)- remote/hybrid

The Invasive Coding Analyst

• Attends invasive procedures as requested by the physician or requested by leadership or the Coder.

• Reviews invasive procedure reports, recommends or assigns and sequences CPT and HCPCS charge master codes on invasive cardiology and radiology records, in accordance with official coding guidelines, and payer requirements to accurately code clinical procedures and charge for supplies.

• Compares and reconciles variances in the documentation of dictated reports to logs of the clinical procedures performed and supplies used.

• May act as coding and billing expert and resource.

• Assists with denial reviews and creation of denial trending reports for management.

• Performs pre-billing review of all cases and reviews (at least monthly) reports of pending and denied Cardiology/Imaging/Vascular claims, identifying root causes for non-payment.

• Assists the Clinical Information Department by identifying coding-related revenue and reimbursement improvement opportunities for Cardiology/Radiology Services and reports these findings to management.

• Maintains working knowledge of the CDM for the clinical area of assignment and collaborates with the CDM Manager for Carilion Clinic and the Directors of the clinical departments to ensure that the CPT codes, procedures, supplies and revenue codes are updated as necessary, and at least annually.

• Identifies, with Purchasing, supplies that can be returned to the manufacturer for correct charging to minimize lost revenue.

• Works with different departments as needed to ensure all supplies and implants are accurately recorded within the record.

• Consults with and provides education to physicians regarding clinical documentation as it relates to coding requirements.

• Validates charges with Internal Audit.

• Maintains working knowledge of all applicable systemsSovera, SMS, 3M Encoder, RMS, Educode and Clinical Systems that support the clinical area of assignment.

• Must code all cases within 24 hours of occurrence and perform final pre-billing reviews for accuracy following reconciliation review with dictate reports.

Education: High School education required. Medical Terminology and Physiology and Anatomy required.

Experience: Minimum of 3 years of demonstrated proficiency in coding required.

Licensure/certification: RHIT, RHIA, CCA, CCS, CPC, or CPC-H required.

Other Minimum Qualifications: Effective oral and written communication skills. Must be a team player with intiative, organizational skills, analytical abilities, detail oriented and have the ability to work independently. Maintains working knowledge of computer systems used for healthcare operations. Must be proficient with Word, Excel and researching the web for coding and billing information. Must be able to provide own transportation for travel to other Carilion work sites.

This job description is only meant to be a representative summary of the major responsibilities and accountabilities performed by the incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Recruiter:

Recruiter Email:

For more information, contact the HR Service Center at 1-800-599-2537.

Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a.m. to 4:30 p.m., Monday through Friday.

For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies

Carilion understands the importance of prioritizing your well-being to help you develop and thrive. That's why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life - at work and when you're away.

When you make your tomorrow with us, we'll enhance your potential to realize the best in yourself.Below are benefits available to you when you join Carilion:

• Comprehensive Medical, Dental, & Vision Benefits
• Employer Funded Pension Plan, vested after five years (Voluntary 403B)
• Paid Time Off (accrued from day one)
• Onsite fitness studios and discounts to our Carilion Wellness centers
• Access to our health and wellness app, Virgin Pulse
• Discounts on childcare
• Continued education and training

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