Coder Physician

Omega Healthcare Solutions•Boca Raton, FL

1d•Remote

About The Position

Omega Healthcare Management Services is seeking a Pro fee coder with a minimum of 3 years of experience coding radiology accounts. This role requires Epic experience and Codify experience is preferred. The schedule will be Monday-Friday, preferably between 8 am and 5 pm CST, though the start time can be flexible within reason. For the first week of training, candidates must be available from 8 am to 5 pm CST.

Requirements

Minimum of 3 years of experience coding radiology accounts.
Epic experience required.
Strong proficiency in CPT, HCPCS Level II, and ICD-10-CM coding specific to radiology professional fee services.
In-depth knowledge of radiology modalities (Diagnostic Radiology, Interventional Radiology).
Ability to accurately assign professional component (-26 modifier) and differentiate from technical components.
Expertise in modifier usage (e.g., -26, -TC, -59, -76, -77, -91, -25).
Strong understanding of physician documentation requirements for radiology interpretation and reporting.
Ability to interpret radiology reports and assign codes based on findings, impressions, and procedures performed.
Working knowledge of CMS guidelines, NCCI edits, MUEs, LCDs, and NCDs.
Ensures compliance with payer-specific and regulatory requirements.
Familiarity with contrast vs. non-contrast studies and proper code selection.
Understanding of bundling/unbundling rules specific to radiology services.
Knowledge of fluoroscopy, supervision and interpretation (S&I) coding, and add-on codes.
Ability to distinguish between screening vs. diagnostic studies.
Strong attention to detail and ability to work with high-volume radiology workloads.
Ability to meet productivity and quality metrics in a fast-paced environment.
Strong problem-solving skills to resolve coding discrepancies and edits.
Ability to collaborate with radiologists, billing teams, and CDI/audit teams.
Effective communication skills for querying providers when documentation is insufficient.
Ability to clearly explain coding decisions to internal stakeholders or clients.

Nice To Haves

Codify experience preferred.

Responsibilities

Accurately assign CPT, HCPCS Level II, and ICD-10-CM codes specific to radiology professional fee services.
Apply in-depth knowledge of radiology modalities, including Diagnostic Radiology (X-ray, CT, MRI, Ultrasound, Nuclear Medicine) and Interventional Radiology (IR procedures, vascular studies, image-guided procedures).
Accurately assign the professional component (-26 modifier) and differentiate it from technical components.
Utilize modifiers such as -26, -TC, -59, -76, -77, -91, -25 as applicable.
Interpret physician documentation requirements for radiology interpretation and reporting.
Interpret radiology reports and assign codes based on findings, impressions, and procedures performed.
Apply knowledge of CMS guidelines, NCCI edits, MUEs, LCDs, and NCDs.
Ensure compliance with payer-specific and regulatory requirements.
Distinguish between contrast and non-contrast studies and select proper codes.
Understand bundling/unbundling rules specific to radiology services.
Code fluoroscopy, supervision and interpretation (S&I), and add-on codes.
Differentiate between screening and diagnostic studies.
Maintain strong attention to detail and manage high-volume radiology workloads.
Meet productivity and quality metrics in a fast-paced environment.
Resolve coding discrepancies and edits using strong problem-solving skills.
Collaborate with radiologists, billing teams, and CDI/audit teams.
Query providers when documentation is insufficient.
Clearly explain coding decisions to internal stakeholders or clients.