Roles & Responsibilities A Radiology Medical Coder is responsible for reviewing radiology documentation and accurately assigning diagnosis and procedure codes for imaging services to ensure proper reimbursement, regulatory compliance, and billing accuracy.

Key Responsibilities

1. Medical Coding

- Review radiology reports, physician orders, and supporting clinical documentation.

- Assign accurate ICD-10-CM, CPT, and HCPCS codes for radiology procedures and diagnoses.

- Code diagnostic and interventional radiology services according to established coding guidelines.

- Ensure accurate modifier assignment (e.g., 26, TC, RT, LT, 50, 59, XE).

1. Documentation Review

- Analyze radiology reports for completeness and coding specificity.

- Verify that diagnoses support medical necessity for imaging procedures.

- Identify missing or unclear documentation and initiate provider queries when required.

- Ensure documentation supports billed services.

1. Radiology Specialties Coding

Code services across various imaging modalities, including:

- X-Ray (Diagnostic Radiology)

- CT Scan (Computed Tomography)

- MRI (Magnetic Resonance Imaging)

- Ultrasound

- Mammography

- Nuclear Medicine

- PET Scans

- Interventional Radiology Procedures

- Fluoroscopy

- Bone Density Studies (DEXA)

1. Compliance & Regulatory Adherence

- Follow official ICD-10-CM, CPT, HCPCS, CMS, Medicare, Medicaid, and payer-specific guidelines.

- Maintain compliance with HIPAA regulations and coding standards.

- Ensure coding practices meet audit and regulatory requirements.

- Participate in internal and external coding audits.

1. Revenue Cycle Support

- Facilitate timely and accurate claim submission.

- Resolve coding-related edits, denials, and claim rejections.





- Collaborate with billing and revenue cycle teams to optimize reimbursement.

- Assist in appeals and denial management activities.

1. Quality Assurance

- Perform coding quality checks to maintain high accuracy levels.

- Identify coding trends and recommend process improvements.

- Support quality monitoring and audit initiatives.

- Maintain departmental productivity and accuracy standards.

1. Medical Necessity Verification

- Review physician orders and diagnoses to ensure medical necessity requirements are met.

- Apply National Correct Coding Initiative (NCCI) and payer-specific edits appropriately.

- Ensure proper use of contrast and non-contrast imaging codes.

1. Continuous Education

- Stay updated on annual ICD-10-CM, CPT, and HCPCS changes.

- Participate in coding education programs and certification maintenance activities.

- Keep current with radiology-specific coding guidelines and payer updates.

Required Skills

- Robust knowledge of Radiology Coding and imaging procedures.

- Proficiency in ICD-10-CM, CPT, HCPCS, and modifier usage.

- Understanding of anatomy, physiology, medical terminology, and radiology concepts.

- Knowledge of Medicare, Medicaid, and commercial payer guidelines.

- Familiarity with EHR/EMR systems and coding software.

- Strong analytical and attention-to-detail skills.

Preferred Qualifications

- CPC, CCS, RCC (Radiology Coding Certification), CIRCC, or equivalent certification.

- Experience in Diagnostic and/or Interventional Radiology Coding.

- Knowledge of radiology billing, compliance, and denial management.

- Familiarity with hospital, physician, or outpatient radiology coding environments.

Interested candidates can call to HR Harshita - (phone hidden) & HR Ranu - (phone hidden)

📌 Radiology Medical Coder (Noida)
🏢 CorroHealth
📍 Noida