Coding Specialist

Position Summary

The Coding Specialist will report to the Manager of Revenue Cycle and Coding and will be responsible for accurately coding professional Radiology and Interventional Radiology services. This position requires a thorough understanding of coding guidelines, payer-specific requirements, and documentation best practices to support compliant and optimized reimbursement.

Responsibilities

• Review clinical documentation in 3M and Epic to assign accurate ICD-10-CM, CPT, HCPCS Level II codes, and applicable modifiers for Radiology and Interventional Radiology procedures in accordance with official coding guidelines.
• Independently code Interventional Radiology procedures, including complex multi-component cases, and apply appropriate evaluation and management (E / M) consultation codes as needed.
• Validate coding accuracy and adherence to payer-specific guidelines to ensure submission of clean claims and reduce denials.
• Utilize encoder tools, NCCI edits, and payer resources to confirm code selection and compliance with coding conventions and regulations.
• Monitor and resolve coding edits in Epic work queues daily; make necessary corrections and release charges in a timely manner.
• Collaborate with billing and denial management teams to review and respond to coding-related denials, inquiries, or appeals.
• Maintain and reconcile documentation review records using MD Audit for physician performance evaluation and compliance tracking.
• Participate in ongoing coding education to maintain knowledge of medical terminology, anatomy, disease processes, and new coding updates.
• Maintain active coding certification(s) and ensure annual compliance with continuing education requirements.
• Assist with audits, coding reviews, and training initiatives as directed.
• Perform other duties as assigned in support of the department’s coding and compliance goals.

Minimum Qualifications

Bachelor’s degree or equivalent combination of education and related experience required.

Minimum of two (2) years of professional coding experience in a healthcare setting.

Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), or equivalent coding certification is required.

Preferred Qualifications

Proficient with Epic and 3M coding platforms; experience with MD Audit or similar auditing tools is a plus.

Detail-oriented with strong analytical, organizational, and communication skills.

Ability to prioritize tasks, manage time efficiently, and meet deadlines in a fast-paced environment.

Commitment to confidentiality, accuracy, and professional integrity