Senior Radiology Fee Coder

NorthBay Health; Fairfield (CA); Remote; USD 65,000 - 90,000; Full time

Job summary

NorthBay Health is seeking a Professional Fee Radiology Coder to perform accurate professional fee coding for radiology services, ensuring documentation supports procedures, medical necessity, and compliant billing.

The role requires extensive knowledge of CPT/HCPCS, ICD-10-CM, radiology terminology, and encoder systems, with a focus on quality and independence within the EHR environment.

Qualifications

• Associate's or Bachelor's degree preferred in a related field.
• Certification in radiology coding or related credentials preferred; specific credentials may be required.
• Minimum 3 years of professional radiology coding experience with CPT/HCPCS, ICD-10-CM, modifiers, and professional component requirements.

Responsibilities

• Reviews radiology reports and assigns CPT/HCPCS and ICD-10-CM codes for professional radiology services.
• Applies modifiers and professional component coding requirements per documentation and payer guidelines.
• Codes diagnostic imaging services across radiography, CT, MRI, ultrasound, mammography, nuclear medicine, PET, fluoroscopy, etc.
• Validates documentation supports procedure, diagnosis, medical necessity, and service billed; identifies discrepancies needing clarification.
• Applies current CPT, HCPCS, ICD-10-CM, NCCI, CMS, AMA, and payer guidance to assigned encounters.

Skills

Radiology terminology

Anatomy & physiology

CPT/HCPCS/ICD-10-CM coding

Professional component coding

Education

Associate's or Bachelor's preferred

Tools

EHRs

3M encoder

coding/billing work queues

Microsoft Office

Job description

NorthBay Health is seeking a Professional Fee Radiology Coder to perform accurate professional fee coding for radiology services, ensuring documentation supports procedures, medical necessity, and compliant billing.

The role requires extensive knowledge of CPT/HCPCS, ICD-10-CM, radiology terminology, and encoder systems, with a focus on quality and independence within the EHR environment.