Billing Specialist Radiation Oncology

UT MD Anderson; Houston (TX); Hybrid; USD 40,000 - 60,000; Full time

Benefits offered by this job

Medical coverage

PTO & holidays

Tuition assistance

Pension plan

Job summary

The University of Texas MD Anderson Cancer Center is seeking a Billing Specialist in Radiation Oncology to ensure accurate charge capture, coding integrity, and compliant reimbursement for complex radiation therapy services. Work with clinical and operational teams to optimize revenue cycle performance and documentation quality.

The ideal candidate has a bachelor’s degree in business or hospital administration and 3 years of medical billing experience, with CPC preferred.

Qualifications

• Bachelor's degree in Business Administration, Hospital Administration or related field.
• 3 years billing, coding or cost accounting experience in a healthcare setting.

Responsibilities

• Perform complex reviews and clinical abstraction of Radiation Oncology services.
• Assign CPT, HCPCS, and ICD-10 codes for radiation therapy modalities (3D CRT, IMRT, Proton, Brachytherapy, SRS).
• Validate treatment parameters to ensure coding accuracy and reconcile prescriptions with delivered treatments.
• Review KV and CBCT imaging and complete end-of-course audits for full charge capture.

Skills

Billing

Coding

Revenue cycle

Regulatory compliance

Education

Bachelor's degree in Business Administration / Hospital Administration

Tools

Epic

Job description

The University of Texas MD Anderson Cancer Center is home to a leading Radiation Oncology program that supports the delivery of advanced cancer treatments through highly specialized clinical, operational, and financial services. The Radiation Oncology Therapeutic Finance & Business Services department plays a critical role in ensuring accurate charge capture, coding integrity, billing compliance, and revenue cycle performance for complex radiation therapy services.

UT MD Anderson is a leading institution focused on cancer care, research, education, and prevention. The Billing Specialist Radiation Oncology position supports the organization's mission by ensuring precise reimbursement practices, maintaining regulatory compliance, and contributing to the financial integrity of Radiation Oncology services. The Billing Specialist Radiation Oncology collaborates with clinical and operational teams to optimize coding accuracy and revenue integrity. The Billing Specialist Radiation Oncology serves as a key resource for charge reconciliation, denial management, and billing compliance.

The ideal candidate will possess a bachelor's degree in Business Administration, Hospital Administration, or a related field, along with experience in medical billing, coding, or revenue cycle operations within a healthcare environment. A Certified Professional Coder (CPC) credential is preferred. Experience with radiation oncology coding, charge review, denial management, regulatory compliance, and payer requirements is highly desirable.

Minimum $29.09/hour - Midpoint $36.30/hour - Maximum $43.51/hour

Why Us?

At UT MD Anderson, this role offers the opportunity to directly support world‑class cancer care by ensuring the accuracy and integrity of Radiation Oncology billing and reimbursement processes. Team members work alongside clinical and operational experts while developing specialized knowledge in oncology revenue cycle management, compliance, coding, and reimbursement. This position provides meaningful work, professional growth opportunities, and access to a comprehensive benefits package that supports personal and professional well‑being.

• Employer-paid medical coverage starting day one for employees working 30+ hours/week, plus optional group dental, vision, life, AD&D, and disability insurance.
• Accruals for PTO and Extended Illness Bank, plus paid holidays, wellness, childcare, and other leave options.
• Tuition Assistance Program after six months of service and access to extensive wellness, fitness, and employee resource groups.
• Defined-benefit pension through the Teachers Retirement System, voluntary retirement plans, and employer-paid life and reduced salary protection programs.

Responsibilities

Charge Capture & Coding (Revenue Integrity)

• Perform complex reviews and advanced clinical abstraction of Radiation Oncology services, including simulation, dose distribution treatment planning, and treatment delivery modality and complexity
• Assign CPT, HCPCS, and ICD-10 codes across radiation therapy modalities including 3D CRT, IMRT, Proton Therapy, Brachytherapy, and SRS (Gamma Knife)
• Validate treatment parameters, including monitor units, gantry angles, and control points, to ensure coding accuracy
• Reconcile physician prescriptions with delivered treatments to ensure alignment of technical and professional charges
• Review and validate KV imaging, CBCT imaging, and supporting documentation for compliant billing
• Complete end-of-course chart audits to ensure full charge capture and documentation completeness

Denial & Work Queue Management

• Resolve charge review, claim edit, and denial work queues within Epic
• Analyze denial trends related to CCI edits, MUE limitations, medical necessity requirements, and bundling issues
• Implement corrective actions to reduce denials and improve reimbursement outcomes
• Prepare appeal documentation and collaborate with payer teams to support claim resolution
• Identify systemic revenue cycle issues and recommend workflow or documentation improvements

Compliance & Education

• Ensure billing practices align with annual industry updates, including ASTRO billing standards
• Educate clinical teams regarding documentation requirements needed to support all submitted charges
• Maintain current knowledge of regulatory updates, including ASTRO and CMS rule changes
• Communicate effectively with physicians and clinical staff to provide education and feedback regarding coding and documentation issues
• Ensure compliance with CMS, NCCI, MUE, and payer‑specific billing guidelines
• Identify compliance risks and elevate issues appropriately

EDUCATION

• Required: Bachelor's Degree Business Administration, Hospital Administration or related field.

Work Experience

• Required: 3 years Billing, coding or cost accounting experience to include two years in a medical service environment, insurance or related field.
• May substitute required education degree with additional years of equivalent experience on a one to one basis.

LICENSES AND CERTIFICATIONS

• Preferred: Certified Professional Coder (CPC) from an accredited organization. Upon Hire

The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and individual and team recognition.

This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment.

It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html

• Requisition ID: 182990
• Employment Status: Full-Time
• Employee Status: Regular
• Work Week: Days
• Minimum Salary: US Dollar (USD) 60,500
• Midpoint Salary: US Dollar (USD) 75,500
• Maximum Salary : US Dollar (USD) 90,500
• FLSA: exempt and not eligible for overtime pay
• Fund Type: Hard
• Work Location: Hybrid Onsite/Remote
• Pivotal Position: No
• Referral Bonus Available?: No
• Relocation Assistance Available?: No