Radiology Coder/Auditor

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SimonMed Imaging

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2003

🏥 Healthcare

🤖 Artificial Intelligence

👥 B2C

Healthcare • Artificial Intelligence • B2C

SimonMed Imaging is the largest independent outpatient physician radiology group in the United States, operating over 170 accredited outpatient centers across multiple states. The company provides comprehensive diagnostic imaging and screening services — including MRI, CT, mammography (including mobile on-site programs), ultrasound, DEXA, nuclear medicine/PET‑CT and specialty subspecialty reads — and emphasizes accessibility, cost transparency and AI‑enhanced imaging technologies to deliver earlier and more accurate diagnoses for patients and referring providers.

📋 Description

• Ensure the accuracy, compliance, and integrity of coding operations across the organization • Perform complex radiology coding, including PET and Nuclear Medicine coding • Conduct quality assurance reviews • Audit work completed by external coding partners and AI-assisted coding platforms • Identify opportunities to improve coding accuracy, operational efficiency, and reimbursement outcomes • Support compliance, financial performance, coding quality, and operational excellence • Collaborate with coding leadership, revenue cycle teams, vendors, and clinical partners • Drive continuous improvement while ensuring adherence to industry standards, payer requirements, and regulatory guidelines • Provide education and coaching to advance coding quality

🎯 Requirements

• Bachelor's degree preferred or equivalent combination of education and experience • 5+ years of recent radiology coding experience • Direct experience coding PET and/or Nuclear Medicine studies • CPC or RCC certification required • CPMA certification preferred • RCC-IR certification preferred • Experience conducting coding audits and quality assurance reviews • Experience reviewing and resolving coding denials and claim rejections • Knowledge of ICD-10-CM, CPT, HCPCS, modifiers, and radiology reimbursement methodologies • Expertise in radiopharmaceutical/tracer coding, including HCPCS A-codes and Q-codes • Knowledge of dosage-based unit calculations and payer-specific requirements for PET and Nuclear Medicine services • Familiarity with Medicare NCD/LCD guidelines and medical necessity requirements • Experience working with outsourced coding partners or vendor review programs preferred • Experience with AI-assisted coding platforms such as Aideo and/or Gemini preferred • Strong attention to detail, critical thinking, organizational, and communication skills • Proficiency with coding, auditing, and revenue cycle technology platforms

🏖️ Benefits

• Free whole-body scans for team members • Competitive wages • Medical, dental, and vision insurance • 401(k) eligibility • Pet Insurance • Paid holidays • PTO • Sick Time • Professional growth and development opportunities