Clinic Coding Specialist

US Oncology Network-wide Career Opportunities; Richardson (TX); Hybrid; USD 60,000 - 75,000; Full time

Job summary

The US Oncology Network's Texas Oncology is seeking a Coding Specialist to join its Central Business Office in Richardson, TX. This full-time hybrid remote position supports coding of medical records across oncology services and requires residence in Texas.

You will assign ICD-10-CM, CPT, and HCPCS codes, review documentation for accuracy, and work with providers to resolve coding issues while complying with HIPAA and payer guidelines.

Qualifications

• High school diploma or equivalent; completed medical record tech course.
• Minimum one year of medical coding experience; three years preferred.
• RHIT certification preferred; knowledge of ICD-9 and CPT-4 coding systems desirable.

Responsibilities

• Review provider documentation and assign ICD-10-CM, CPT, and HCPCS codes in accordance with official coding guidelines and payer requirements.
• Apply coding knowledge across oncology specialties including breast, general, colorectal, gynecologic, urologic, thoracic surgeries and related services.
• Assign diagnoses and procedures accurately while maintaining productivity and quality standards.
• Review documentation to determine code assignment, sequencing, and medical necessity support; ensure payer-specific reimbursement requirements are met.
• Identify documentation deficiencies and collaborate with providers to obtain clarification.
• Demonstrate knowledge of E/M coding guidelines and note that providers are responsible for level selection.
• Research coding, reimbursement, and regulatory questions using coding references and payer policies.
• Assist with denial prevention and revenue integrity by identifying coding trends and opportunities.

Skills

Medical coding experience

ICD-9 coding

CPT-4 coding

Education

High school diploma or equivalent

Course in medical record technology

Course in Medical Terminology

RHIT certification preferred

Job description

Overview

The US Oncology Network is looking for a Coding Specialist to join our team at Texas Oncology! This full time hybrid remote position will support our Central Business Office at 3001 E President George Bush Hwy Richardson, TX 75082. This position will work Monday - Friday and also requires the candidate to live in the state of Texas.

As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology, we use leading-edge technology and research to deliver high-quality, evidence-based cancer care to help our patients achieve "More breakthroughs. More victories." in their fight against cancer. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis.

The US Oncology Network is one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care.

What does the Coding Specialist do?

Under direct supervision, performs all medical record coding activities. Assigns appropriate diagnostic codes to patient charts and reports as assigned. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.

Responsibilities

Essential Duties and Responsibilities

• Reviews provider documentation and abstracts relevant clinical and demographic information from the medical record to accurately assign ICD-10-CM, CPT, and HCPCS codes in accordance with official coding guidelines, payer requirements, and Texas Oncology policies.
• Applies coding knowledge across surgical oncology specialties including, but not limited to, breast surgery, general surgery, colorectal surgery, gynecologic oncology, urologic oncology, thoracic surgery, and related clinic services.
• Assigns diagnoses and procedures accurately and consistently while maintaining established productivity and quality standards.
• Reviews documentation to determine code assignment, sequencing, medical necessity support, modifier application, and compliance with payer-specific reimbursement requirements.
• Identifies documentation deficiencies and collaborates with providers and leadership to obtain clarification when documentation is incomplete, conflicting, or insufficient to support code assignment.
• Demonstrates knowledge of Evaluation and Management (E/M) coding guidelines and documentation requirements, while recognizing that providers are ultimately responsible for level selection when applicable.
• Researches coding, reimbursement, and regulatory questions using coding references, payer policies, National Correct Coding Initiative (NCCI) edits, Medicare guidance, and other approved resources.
• Assists with denial prevention and revenue integrity efforts by identifying coding trends, documentation opportunities, and reimbursement issues that may impact claim accuracy or payment.
• Maintains current knowledge of coding changes, payer updates, compliance regulations, and specialty-specific documentation requirements through ongoing education and training.
• Participates in coding audits, quality reviews, provider education, and process improvement initiatives to support coding accuracy, compliance, and operational efficiency.
• Collaborates effectively with providers, clinical staff, revenue cycle teams, and other departments to ensure accurate charge capture, coding, and reimbursement.
• Maintains the confidentiality, security, and integrity of protected health information in accordance with HIPAA, organizational policies, and applicable regulations.

Minimum Quality Expectations

• Achieves and maintains established coding quality standards as measured through internal quality assurance reviews.
• Meets productivity expectations for assigned specialty and work queue.
• Demonstrates proficiency in specialty-specific coding, modifier usage, documentation requirements, and payer guidelines.
• Works independently while escalating complex coding, compliance, or reimbursement issues as appropriate.

Qualifications

The ideal candidate for the position will have the following background and experience:

Level 1

• High school diploma or equivalent required. Completion of a course in medical record technology.
• Minimum one year of coding medical experience required, three years experience medical coding preferred.
• Applicable certification preferred.
• Knowledge of medical records coding procedures and knowledge of ICD-9 and CPT-4 Coding Systems highly desirable.

Level Sr (in addition to level 1 requirements)

• Completion of a course in Medical Terminology
• Minimum five years medical coding experience, prior oncology experience preferred.
• Certification as RHIT preferred.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and use hands to finger, handle, or feel. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment.