PB Coder (Interventional Radiology Focused)
Core
Review, analyze, and accurately code complex Neurointerventional and Interventional Radiology procedures to ensure compliance and optimal reimbursement.
Role type
Senior Professional Biller (PB) / Medical Coder (Interventional Radiology)
Builds
Accurate CPT, ICD-10-CM, HCPCS, and modifier assignments for physician professional services
Domain
Healthcare / Medical Coding / Interventional Radiology
Required skills
Vascular anatomy knowledge, Component coding, CPT/ICD-10-CM/HCPCS coding, Radiological Supervision and Interpretation (RS&I) coding, NCCI edits application, Payer-specific reimbursement policy knowledge, Operative report analysis, Denial resolution
Preferred skills
Advanced writing skills, Microsoft Excel proficiency, Real-time feedback delivery via EPIC
Technologies
EPIC, Microsoft Office, Excel
Responsibilities
Review and analyze complex clinical documentation including operative reports and procedural notes; Assign and sequence CPT, ICD-10-CM, HCPCS, and modifier codes for diagnostic and therapeutic procedures; Apply advanced knowledge of vascular anatomy and component coding principles; Interpret outpatient and inpatient consultation services; Evaluate provider documentation for completeness and coding specificity; Research and resolve complex coding scenarios involving bundled services and hierarchical catheterization rules; Resolve coding denials from payers; Provide real-time feedback to providers on coding changes and trends.
Seniority
Senior, hands-on IC
