Coding Analyst

US Oncology Inc.; Richardson (TX); Hybrid; USD 55,000 - 70,000; Full time

Job summary

US Oncology Inc. is seeking a Coding Analyst to support the Research Billing Department in Richardson, Texas. This full-time hybrid role involves performing billing and coding activities, ensuring accuracy in patient account coding, and compliance with guidelines.

The ideal candidate will have a high school diploma, AAPC Certified Professional Coder certification, and at least three years of coding experience, particularly in oncology.

Qualifications

• Successful completion of AAPC Certified Professional Coder Exam required.
• Minimum three years of medical coding experience required.
• Prior oncology and medical billing experience preferred.

Responsibilities

• Perform billing and coding activities under limited supervision.
• Assign appropriate billing codes to patient accounts.
• Review requests for coding changes based on payer denials.
• Abstract clinical information to assign ICD-10 and CPT/HCPCS codes.
• Correct coding errors post-claim processing.

Skills

Medical coding accuracy

Proficiency in Microsoft Office

Attention to detail

Oncology experience

Education

High school diploma or equivalent

AAPC Certified Professional Coder Exam

Tools

Optum Encoder

Job description

Overview

The US Oncology Network is looking for a Coding Analyst to join our team at Texas Oncology. This full-time hybrid position will support the Research Billing Department at our 3001 E. President George Bush Hwy Suite 100 location in Richardson, Texas. Typical work week is Monday through Friday 8:30a - 5:00p.

This position will be a level 1 based on relevant candidate experience.

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 Analyst do? (including but not limited to)

Working under limited supervision, performs billing and coding activities. Assigns appropriate billing codes to patient accounts and ensures accurate and completeness of claims. This position reports to the Business Office Director. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.

Responsibilities

• Review requests for coding changes (including but not limited to CPT/HCPCS, diagnosis, modifiers, place of service, authorizations, UOM, MUE, NDC) based on payer denials to ensure accurate coding and billing.
• Abstract relevant clinical information from the medical record and provider documentation to assign ICD‑10 and CPT/HCPCS codes in accordance with coding and reimbursement guidelines.
• Review and correct coding errors post‑claim processing/denial, ensuring accurate refiling of corrected claims to payers.
• Use LCD/NCD policies to ensure accurate coding for the CMS region.
• Utilize coding tools such as Optum Encoder and CMS guidelines.
• Code with an accuracy of 95% or higher based on QA internal reviews.

Qualifications

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

Level 1

• High school diploma or equivalent required.
• Successful completion of AAPC Certified Professional Coder Exam required.
• Minimum three years medical coding experience required.
• Proficiency with computer systems and Microsoft (Office Outlook, Word, Power Point, and Excel) required.
• Prior oncology experience preferred.
• Prior medical billing experience 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 required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

Work Environment

The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.