Medical Biller/Quality Auditor - Radiology Specialist

Job Summary: Progressive Technology is seeking a highly detail-oriented and experienced Medical Biller/Quality Auditor - Radiology Specialist to join our growing team. The ideal candidate will have a deep understanding of radiology billing practices, coding accuracy, and regulatory compliance. This dual-role position involves both medical billing and auditing responsibilities, ensuring precise and compliant processing of radiology claims. You will play a critical role in supporting our mission to deliver high-quality healthcare revenue cycle management services. Key Responsibilities:

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Accurately review and process radiology billing claims in accordance with payer guidelines and regulations.

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Audit radiology reports, claims, and supporting documentation to ensure coding and billing accuracy.

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Verify and analyze CPT, ICD-10, and HCPCS codes to ensure proper reimbursement and reduce denials.

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Collaborate with radiologists and other healthcare professionals to clarify documentation and support correct billing.

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Identify and report patterns or trends that may indicate revenue leakage or compliance issues.

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Educate and guide internal billing teams on radiology coding updates and documentation requirements.

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Maintain up-to-date knowledge of federal, state, and payer-specific billing regulations.

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Generate audit reports and provide recommendations for performance improvement and training.

• Required Skills and Qualifications:
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Certification in medical billing/coding (e.g., CPC, CCS, or equivalent).

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Deep understanding of radiology terminology, procedures, and documentation.

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Strong knowledge of coding systems (CPT, ICD-10, HCPCS).

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Excellent attention to detail and analytical skills.

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High level of integrity, confidentiality, and professional ethics.

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Strong written and verbal communication skills.

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Proficiency with EHR/EMR systems and billing software.

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Ability to work independently and manage time effectively in a remote setting.

• Experience:
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Minimum of 3 years of medical billing experience, with at least 2 years specifically in radiology.

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Previous experience in a quality auditing or compliance role is highly desirable.

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Experience working with multiple payers, including Medicare and Medicaid, is a plus.

• Working Hours:
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Monday through Friday

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8:00 AM – 5:00 PM (Flexible hours available upon discussion)

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Full-time, 40 hours per week

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Remote work option available after successful onboarding

• Knowledge, Skills, and Abilities:
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In-depth knowledge of radiology billing and reimbursement practices

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Understanding of healthcare compliance and audit procedures

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Ability to work cross-functionally with billing, coding, and clinical teams

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Proficiency in MS Office Suite, especially Excel and Word

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Strong organizational and problem-solving skills

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Ability to handle multiple tasks and meet tight deadlines in a fast-paced environment

• Benefits:
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Competitive salary based on experience

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Remote work flexibility

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Comprehensive health, dental, and vision insurance

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401(k) with company match

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Paid time off and paid holidays

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Ongoing professional development and training

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Employee wellness programs

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Career advancement opportunities

• Why Join Progressive Technology?

At Progressive Technology, we are committed to excellence, innovation, and integrity in every aspect of our work. As part of our team, you will be supported by a collaborative work environment and have access to state-of-the-art tools and continuous learning opportunities. We value the expertise of our employees and offer a culture where your contributions are recognized and your growth is encouraged. Be part of a team that is making a difference in the future of healthcare billing and auditing. How to Apply: Interested candidates are encouraged to submit a resume and a brief cover letter outlining their experience and suitability for the role to us. Please include Medical Biller/Quality Auditor - Radiology Specialist in the subject line. Join us in shaping the future of medical billing — one accurate claim at a time. Apply tot his job Apply To this Job