Invasive Coding Analyst (Imaging)- remote/hybrid

• Attends invasive procedures as requested by the physician or requested by the Coder. Reviews invasive procedure reports, recommends or assigns and sequences CPT and HCPCS charge master codes on ambulatory invasive cardiology and radiology records, in accordance with official coding guidelines, and payer requirements to accurately code clinical procedures and charge for supplies.
• Compares and reconciles variances in the documentation of dictated reports to logs of the clinical procedures performed and supplies used.
• Performs pre-billing review of all cases and reviews (at least monthly) reports of pending and denied Cardiology/Imaging/Vascular claims, identifying root causes for non-payment.
• Assists the Clinical Information Department by identifying coding-related revenue and reimbursement improvement opportunities for Cardiology/Radiology Services and reports these findings to management.
• Maintains working knowledge of the CDM for the clinical area of assignment and collaborates with the CDM Manager for Carilion Clinic and the Directors of the clinical departments to ensure that the CPT codes, procedures, supplies and revenue codes are updated as necessary, and at least annually.
• Identifies, with Purchasing, supplies that can be returned to the manufacturer for correct charging to minimize lost revenue.
• Consults with and provides education to physicians (Cardiologists, Vascular Surgeons, and Radiologists) regarding clinical documentation as it relates to coding requirements.
• Validates charges with Internal Audit.
• Maintains working knowledge of Sovera, SMS, 3M Encoder, RMS, Educode and Clinical Systems that support the clinical area of assignment.

Carilion Clinic