Radiology Denials Medical Coder

Job Title :

Radiology Denials Coder

Job Summary

The Radiology Denials Coder is responsible for reviewing, analyzing, and resolving claim denials related to radiology services. This role ensures accurate CPT, ICD-10-CM, and HCPCS coding, identifies root causes of denials, and corrects or appeals claims in accordance with payer guidelines. The coder works closely with billing, compliance, and QA teams to improve coding accuracy, reduce denials, and support revenue integrity.

Key Responsibilities

Review and resolve radiology claim denials and appeals

Identify and correct coding errors, missing documentation, or payer discrepancies

Ensure compliance with CMS, AMA, and payer-specific coding guidelines

Collaborate with billing and QA teams to track denial trends and recommend process improvements

Maintain high coding accuracy and productivity standards

Qualifications

Education : Bachelor’s degree in health information management or related field preferred

Certification : CPC required; CRC or CCS preferred

Experience : Minimum 2+ years in radiology coding and denial management

Skills : Proficiency in CPT, ICD-10-CM, HCPCS, payer rules, and EMR / EHR systems (Epic, Cerner, Athena); strong analytical and communication skills