Help ensure coding accuracy, compliance, and revenue integrity by serving as a trusted expert in radiology, PET, and Nuclear Medicine coding and auditing.At SimonMed Imaging, the Radiology Coding Auditor is responsible for ensuring the accuracy, compliance, and integrity of coding operations across the organization. This role performs complex radiology coding, conducts quality assurance reviews, audits work completed by external coding partners and AI-assisted coding platforms, and identifies opportunities to improve coding accuracy, operational efficiency, and reimbursement outcomes.This is a highly impactful role where your expertise directly supports compliance, financial performance, coding quality, and operational excellence. You will collaborate with coding leadership, revenue cycle teams, vendors, and clinical partners to drive continuous improvement while ensuring adherence to industry standards, payer requirements, and regulatory guidelines. If you are passionate about coding integrity, auditing, and advancing quality through education and innovation, this is an excellent opportunity to make a significant impact.What You BringAdvanced radiology coding expertisePET and Nuclear Medicine coding knowledgeStrong auditing and analytical skillsCompliance and reimbursement expertiseRevenue cycle and denial management experienceAbility to evaluate AI-assisted coding performanceProcess improvement mindsetEffective communication and coaching skills What You'll GainOpportunity to influence coding quality across the organizationExposure to advanced AI-assisted coding technologiesCollaboration with cross-functional healthcare teamsHigh-visibility role supporting compliance and revenue integrityProfessional growth and development opportunitiesMeaningful impact on operational excellence and patient care You're a Strong Fit If You Have Bachelor's degree preferred or equivalent combination of education and experience5+ years of recent radiology coding experienceDirect experience coding PET and/or Nuclear Medicine studiesCPC or RCC certification requiredCPMA certification preferredRCC-IR certification preferredExperience conducting coding audits and quality assurance reviewsExperience reviewing and resolving coding denials and claim rejectionsKnowledge of ICD-10-CM, CPT, HCPCS, modifiers, and radiology reimbursement methodologiesExpertise in radiopharmaceutical/tracer coding, including HCPCS A-codes and Q-codesKnowledge of dosage-based unit calculations and payer-specific requirements for PET and Nuclear Medicine servicesFamiliarity with Medicare NCD/LCD guidelines and medical necessity requirementsExperience working with outsourced coding partners or vendor review programs preferredExperience with AI-assisted coding platforms such as Aideo and/or Gemini preferredStrong attention to detail, critical thinking, organizational, and communication skillsProficiency with coding, auditing, and revenue cycle technology platformsBenefitsFree whole-body scans for team membersCompetitive wagesMedical, dental, and vision insurance401(k) eligibilityPet InsurancePaid holidaysPTOSick TimeWe may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
16 days ago