OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model that helps improve the lives of everyone living with cancer and other diseases.
This role is responsible for daily charge review of visits, diagnoses, radiation oncology, or surgeries to ensure accurate level and coding. The Medical Coding Specialist also inputs charges into the practice management system or EMR and may audit physician, nurse practitioner, and clinical oncology staff documentation for correct coding of CPT, ICD-10, HCPCS, and modifiers.
Responsibilities
- Keep informed regarding current coding regulations, auditing standards, professional standards, and company/department policies and procedures as they apply to oncology coding.
- Review operative reports and other supporting documentation to assign appropriate CPT and ICD-10 codes.
- Perform audit and entry of charges into EMR systems and/or practice management systems.
- Work with other coders to assist with difficult cases.
- Assist practice leadership in analyzing data, identifying issues, and proposing strategies for resolving complex coding issues.
- Communicate coding and documentation issues to practice leadership and assist with reports and memoranda regarding audit results and coding compliance matters.
- Assist in developing and reviewing detailed audit programs and reports to improve audit effectiveness and efficiency.
- Assist in developing and executing department educational plans related to coding matters.
- Assist in the development of procedure manuals related to coding and billing compliance.
- Review charges and claims for accurate coding of ICD-10, CPT, and HCPCS codes.
- Perform additional responsibilities as assigned to support the company mission.
- Travel to satellite clinics or other sites as needed.
Requirements & Qualifications
Qualifications
- High school diploma or GED required.
- Professional coding certification required.
- Minimum of 4 years of coding experience preferred.
- 2 years of experience performing chart audits or assigning appropriate CPT and ICD-10 codes through documentation review in a physician practice or hospital environment required.
- CPC certification through AAPC preferred.
- Knowledge of medical oncology, radiation, and surgery coding highly preferred.
- Willing and able to lift up to 25 pounds.
- Willing and able to travel to satellite clinics when necessary.
Essential Competencies
- Attendance is an essential job function.
- Ability to travel to various sites throughout Middle Tennessee to conduct record audits.
- Knowledge of government, legal, and regulatory provisions related to collection activities.
- Knowledge of Medicare, Medicaid, and insurance company policies and procedures.
- Knowledge of CPT, ICD-9, and HCPCS coding.
- Knowledge of anatomy and medical terminology.
- Ability to prioritize work and manage time efficiently.
- Strong creative thinking, problem-solving, and analytical skills.
- Effective communication skills at all levels within the organization.
- Excellent customer service skills.
Location
N/A
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
4 weeks ago
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