Invasive Coding Analyst (Imaging)- remote/hybrid

Carilion Clinic; Myrtle Point (OR); Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare provider is seeking an Invasive Coding Analyst, remote options available, requiring proficiency in coding with certifications. The role involves coding, auditing, and attending procedures for accurate charge capture. Ideal candidates must have experience in medical coding and effective communication skills. Flexible hours offered.

Benefits

Comprehensive Medical, Dental, & Vision Benefits

Employer Funded Pension Plan

Paid Time Off

Onsite fitness studios

Access to wellness app

Discounts on childcare

Continued education and training

Qualifications

• Minimum of 3 years of demonstrated proficiency in coding required.
• Must hold certification RHIT, RHIA, CCA, CCS, CPC, or CPC-H.
• Maintains working knowledge of healthcare computer systems.

Responsibilities

• Attend invasive procedures for coding purposes.
• Review and assign CPT and HCPCS codes for procedures.
• Perform pre-billing review of all cases.

Skills

Effective communication skills

Detail-oriented

Organizational skills

Team player

Analytical abilities

Education

High School education

Medical Terminology and Physiology & Anatomy

Tools

Word

Excel

Sovera

SMS

3M Encoder

Job description

Overview

Employment Status: Full time
Shift: Day (United States of America)
Facility: Remote - VA
Requisition Number: R155446

The Invasive Coding Analyst (Imaging) codes and/or audits charges, diagnoses and procedures of Radiology patients who undergo procedures. Uses the Charge Description Master (CDM), ICD-10 CM, CPT and HCPCS coding systems. Attends clinical procedures to obtain the most accurate clinical information for charge capture and CPT coding, with real-time consultation with the physician and viewing of the clinical findings. Must code all cases within established time parameters and perform final pre-billing reviews for accuracy following reconciliation review with dictated reports.

Locations considered for remote work: Alabama, Florida, Georgia, Arkansas, Kentucky, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, West Virginia, and Virginia. Typical hours: Primarily 8-5, Monday–Friday, with flexibility on start and end times.

Responsibilities

• Attend invasive procedures as requested by the physician, leadership, or the coder.
• Review invasive procedure reports and assign/sequences CPT and HCPCS codes for invasive cardiology and radiology in accordance with official coding guidelines and payer requirements to accurately code clinical procedures and charge for supplies.
• Compare and reconcile variances in dictated reports against procedure and supply logs.
• Serve as coding and billing expert and resource when needed.
• Assist with denial reviews and create denial trending reports for management.
• Perform pre-billing review of all cases and review monthly reports of pending and denied Cardiology/Imaging/Vascular claims to identify root causes of non-payment.
• Identify coding-related revenue and reimbursement improvement opportunities and report findings to management.
• Maintain working knowledge of the CDM and collaborate with the CDM Manager and department Directors to ensure CPT codes, procedures, supplies, and revenue codes are updated at least annually.
• Identify, with Purchasing, supplies that can be returned to the manufacturer to minimize lost revenue.
• Work with other departments to ensure all supplies and implants are accurately recorded in the record.
• Consult with and educate physicians regarding coding requirements related to clinical documentation.
• Validate charges with Internal Audit.
• Maintain working knowledge of systems such as Sovera, SMS, 3M Encoder, RMS, Educode and Clinical Systems that support the clinical area of assignment.
• Code all cases within 24 hours of occurrence and perform final pre-billing reviews for accuracy after reconciliation with dictated reports.

What We Require

Education: High School education required. Medical Terminology and Physiology & 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 initiative, organizational skills, analytical abilities, detail oriented and able to work independently. Maintains working knowledge of computer systems used for healthcare operations. Proficient with Word, Excel and researching coding and billing information. Must be able to provide own transportation for travel to other Carilion work sites.

Equal Opportunity & Contact

This job description is representative of major responsibilities and accountabilities. The incumbents may be asked to perform additional tasks as needed. 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.

Recruiter: JASON BISHOP
Recruiter Email: [e-mail]

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

For information on E-Verify and right to work policies, visit Carilion Clinic E-Verify information page.

Benefits & Perks

Benefits, Pay and Well-being at Carilion Clinic: Carilion offers a comprehensive benefits package and wellness resources to help you thrive. Benefits available to you when you join Carilion include:

• 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 Carilion Wellness centers
• Access to Virgin Pulse health and wellness app
• Discounts on childcare
• Continued education and training