Radiology Medical Coder

CorroHealth; Dadri; On-site; INR 600,000 - 900,000; Full time

Job summary

CorroHealth is seeking a Radiology Medical Coder to review radiology documentation and assign ICD-10-CM, CPT, and HCPCS codes for imaging services, ensuring accurate reimbursements and regulatory compliance.

The role involves analyzing reports, ensuring diagnoses support medical necessity, validating documentation, and collaborating with billing to optimize revenue cycle, with emphasis on accuracy and adherence to guidelines.

Qualifications

• Strong knowledge of Radiology Coding and imaging procedures.
• Proficiency in ICD-10-CM, CPT, HCPCS, and modifier usage.
• Understanding of anatomy, physiology, medical terminology, and radiology concepts.
• Knowledge of Medicare, Medicaid, and commercial payer guidelines.
• Familiarity with EHR/EMR systems and coding software.
• Strong analytical and attention-to-detail skills.

Responsibilities

• Review radiology reports, physician orders, and supporting clinical documentation and codes.
• Assign accurate ICD-10-CM, CPT, and HCPCS codes for radiology procedures and diagnoses.
• Code diagnostic and interventional radiology services according to guidelines and modifiers.
• Analyze radiology reports for completeness and coding specificity; verify medical necessity.
• Identify missing or unclear documentation and initiate provider queries when required.
• Ensure coding practices meet audit and regulatory requirements; participate in audits.
• Support revenue cycle by facilitating claim submission and resolving edits/denials.
• Maintain high accuracy through coding quality checks and monitor coding trends for process improvements.

Skills

Radiology Coding

Modifier Usage

Medical Terminology

EHR/EMR Systems

Payer Guidelines

Education

CPC/CCS/CIRCC Certification

Tools

Coding Software

Job description

Roles & Responsibilities

A Radiology Medical Coder is responsible for reviewing radiology documentation and accurately assigning diagnosis and procedure codes for imaging services to ensure proper reimbursement, regulatory compliance, and billing accuracy.

Key Responsibilities

1. Medical Coding

• Review radiology reports, physician orders, and supporting clinical documentation.
• Assign accurate ICD-10-CM, CPT, and HCPCS codes for radiology procedures and diagnoses.
• Code diagnostic and interventional radiology services according to established coding guidelines.
• Ensure accurate modifier assignment (e.g., 26, TC, RT, LT, 50, 59, XE).

2. Documentation Review

• Analyze radiology reports for completeness and coding specificity.
• Verify that diagnoses support medical necessity for imaging procedures.
• Identify missing or unclear documentation and initiate provider queries when required.
• Ensure documentation supports billed services.

3. Radiology Specialties Coding

Code services across various imaging modalities, including:

• X-Ray (Diagnostic Radiology)
• CT Scan (Computed Tomography)
• MRI (Magnetic Resonance Imaging)
• Ultrasound
• Mammography
• Nuclear Medicine
• PET Scans
• Interventional Radiology Procedures
• Fluoroscopy
• Bone Density Studies (DEXA)

4. Compliance & Regulatory Adherence

• Follow official ICD-10-CM, CPT, HCPCS, CMS, Medicare, Medicaid, and payer-specific guidelines.
• Maintain compliance with HIPAA regulations and coding standards.
• Ensure coding practices meet audit and regulatory requirements.
• Participate in internal and external coding audits.

5. Revenue Cycle Support

• Facilitate timely and accurate claim submission.
• Resolve coding-related edits, denials, and claim rejections.
• Collaborate with billing and revenue cycle teams to optimize reimbursement.
• Assist in appeals and denial management activities.

6. Quality Assurance

• Perform coding quality checks to maintain high accuracy levels.
• Identify coding trends and recommend process improvements.
• Support quality monitoring and audit initiatives.
• Maintain departmental productivity and accuracy standards.

7. Medical Necessity Verification

• Review physician orders and diagnoses to ensure medical necessity requirements are met.
• Apply National Correct Coding Initiative (NCCI) and payer-specific edits appropriately.
• Ensure proper use of contrast and non-contrast imaging codes.

8. Continuous Education

• Stay updated on annual ICD-10-CM, CPT, and HCPCS changes.
• Participate in coding education programs and certification maintenance activities.
• Keep current with radiology-specific coding guidelines and payer updates.

Required Skills

• Strong knowledge of Radiology Coding and imaging procedures.
• Proficiency in ICD-10-CM, CPT, HCPCS, and modifier usage.
• Understanding of anatomy, physiology, medical terminology, and radiology concepts.
• Knowledge of Medicare, Medicaid, and commercial payer guidelines.
• Familiarity with EHR/EMR systems and coding software.
• Strong analytical and attention-to-detail skills.

Preferred Qualifications

• CPC, CCS, RCC (Radiology Coding Certification), CIRCC, or equivalent certification.
• Experience in Diagnostic and/or Interventional Radiology Coding.
• Knowledge of radiology billing, compliance, and denial management.
• Familiarity with hospital, physician, or outpatient radiology coding environments.