Radiology Coder/Auditor
TypeFull-time job
LocationUnited States
Posted2 hours ago
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 Bring
Advanced radiology coding expertise
PET and Nuclear Medicine coding knowledge
Strong auditing and analytical skills
Compliance and reimbursement expertise
Revenue cycle and denial management experience
Ability to evaluate AI-assisted coding performance
Process improvement mindset
Effective communication and coaching skills
What You'll Gain
Opportunity to influence coding quality across the organization
Exposure to advanced AI-assisted coding technologies
Collaboration with cross-functional healthcare teams
High-visibility role supporting compliance and revenue integrity
Professional growth and development opportunities
Meaningful 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 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
Originally posted on Himalayas
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 Bring
Advanced radiology coding expertise
PET and Nuclear Medicine coding knowledge
Strong auditing and analytical skills
Compliance and reimbursement expertise
Revenue cycle and denial management experience
Ability to evaluate AI-assisted coding performance
Process improvement mindset
Effective communication and coaching skills
What You'll Gain
Opportunity to influence coding quality across the organization
Exposure to advanced AI-assisted coding technologies
Collaboration with cross-functional healthcare teams
High-visibility role supporting compliance and revenue integrity
Professional growth and development opportunities
Meaningful 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 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
Originally posted on Himalayas
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