Description

You will serve as the subject matter expert for Interventional Radiology and CPT coding, ensuring accurate, defensible coding practices for complex vascular and non-vascular procedures.

This role is on-site.

Responsibilities

• Perform detailed CPT and HCPCS coding for Interventional Radiology procedures, applying National Correct Coding Initiative (NCCI) edits and bundling rules.
• Maintain current knowledge of regulatory and reimbursement updates impacting IR and outpatient procedural coding.
• Function as the coding, billing, and regulatory policy SME for the Optum Referential Content Team, providing clear content for products.
• Respond to CPT/HCPCS and Medicare queries from internal and external customers, and provide insights to Product Managers and Sales.
• Participate in internal audits, quality assurance activities, and education initiatives to ensure coding accuracy.

Required Skills

• Minimum 5 years of experience in outpatient interventional radiology CPT-based procedural coding.
• Active maintenance of at least one professional certification: CPC, CCS, or CCP.
• Expertise in applying defensible coding practices using Official Coding Guidelines, CPT Assistant, and CMS transmittals.
• Strong analytical skills with attention to detail and ability to reprioritize work based on volume and billing deadlines.
• Ability to function as a liaison between product, marketing, sales, and SME staff.
• Experience providing general CPT coding coverage for additional procedural specialties as needed.

Preferred Skills

• Bachelor's degree in a related field or equivalent professional experience.
• Experience supporting product development and managing capability portfolios across the full lifecycle.

Key Skills

Education

Bachelor's degree