Compliance Medical Oncology Educator

McKesson; United States; Remote; USD 93,000 - 156,000; Full time

Job summary

A leading healthcare company is seeking a Compliance Medical Oncology Educator to provide training on coding and documentation. You will collaborate across departments and develop compliance education tools. Candidates should have a degree in healthcare administration and at least 7 years of experience in coding, with proficiency in regulations and compliance. The position is remote, requiring occasional travel.

Benefits

Competitive compensation package

Qualifications

• 7+ years of relevant experience in compliance and coding.
• Experience in Medical Oncology and Hematology Coding.
• 2+ years of project management experience.

Responsibilities

• Serve as a subject matter expert on coding for Care Management.
• Develop and deliver training on coding tools.
• Collaborate with compliance auditors for education.

Skills

CPT, ICD-10-CM, HCPCS coding

Compliance auditing

Project management

Data analysis

Strong presentation skills

Education

Bachelor's degree in healthcare administration

Current CPC certification

Tools

Microsoft Office Suite

Webex

SmartSheet

Job description

Overview

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve – we care.

What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow’s health today, we want to hear from you.

Title: Compliance Medical Oncology Educator

Remote/Hybrid/Onsite: REMOTE

Key Responsibilities

• Serve as subject matter expert (SME) on coding and documentation for Care Management and Hematology initiatives providing guidance and support across departments.
• Research, develop and deliver training and coding tools for The Network practice physicians, APPs, clinical staff and billing and coding staff on various healthcare related topics. Topics include, but are not limited to risk adjustment, HCC coding and documentation best practices tailored to CMS – Care Management Services, behavioral health, principal illness navigation, community health integration, and other CMS-aligned services and programs.
• Perform regular and on-going reviews of medical record documentation, for coding and documentation compliance.
• Provide individualized education to physicians, APPs, and other clinical staff based on compliance audits, or third-party reviews.
• Collaborate with compliance, revenue cycle management, transformation and shared services, and clinical teams to align education with regulatory requirements and organizational goals.
• Assist with establishing a robust Coding/Training program across The Network.
• Review, research, and respond to practice billing and coding questions within a designated deadline.
• Collaboration with compliance auditors regarding medical record reviews and provide education for improvement.
• Manage educational projects, including scheduling and coordinating sessions with practices, billing offices, and clinical teams.

Additional Skills

• Ensures strict confidentiality of patient information.
• Accountable for meeting or exceeding both production and quality expectations.
• Meets or exceeds short-term and long-term goals as established for the department.
• Participates in staff meetings and attends other meetings and seminars as required.
• Experience working in a dynamic environment where plans will be adjusted based on environmental and business drivers.
• Ability to work independently and proactively with a sense of urgency and tact.
• Extremely detail-oriented with the ability to identify and track requirements for work plans.
• Knowledgeable of Microsoft Word, Excel, and PowerPoint
• Other duties as assigned by leadership.

Minimum Qualifications

• Degree or equivalent and typically requires 7+ years of relevant experience.
  • Four (4) + years of direct experience in CPT, ICD-10-CM, HCPCS, and HCC coding for Medical Oncology, Hematology Oncology, and CMS- Care Management Services.
  • Three (3) Years Compliance Auditing and Physician Education.
  • 2 years’ project management experience.

Education/Training

• Current CPC required, CPMA and/or CCS-P certification a plus.
• Bachelor’s degree in healthcare administration, health information management, or related field.

Critical Skills

• Strong understanding in behavioral health, risk adjustment models and hierarchical condition categories, and clinical documentation improvement.
• Expertise in compliance and government regulations related to CMS Care Management, Value Base Care and Hematology/Medical Oncology in outpatient physician settings.
• Thorough understanding of CPT, ICD-10-CM, HCPCS, and HCC coding standards.
• Proficiency in Microsoft Office Suite (Outlook, Excel, Word, Teams, PowerPoint, CoPilot).
• Experience with virtual meeting platforms (e.g., Webex, Microsoft Teams).
• Proficiency in data analysis and reporting tools (e.g., SmartSheet)
• Strong presentation and communication skills, with the ability to engage diverse clinical audiences.

Travel

• Must be available for up to but not limited to 20% travel

Must be authorized to work in the US. Sponsorship is not available for this position.

We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here.

Our Base Pay Range for this position

$93,500 - $155,900

McKesson is an Equal Opportunity Employer

McKesson provides equal employment opportunities to applicants and employees and is committed to a diverse and inclusive environment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age or genetic information. For additional information on McKesson’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.

Join us at McKesson!