Hybrid Medical Billing & Coding Analyst – Oncology

Texas Oncology; Richardson (TX); Hybrid; USD 52,000 - 68,000; Full time

Job summary

Texas Oncology in Richardson, TX is seeking a Coding Analyst to join the Research Billing Department. This full-time hybrid role supports the clinic's 8:30a–5:00p schedule at 3001 E. President George Bush Hwy, Suite 100, Richardson.

You will review and assign CPT/HCPCS and ICD-10 codes, ensure claim accuracy, and support the compliance program. The ideal candidate has a high school diploma, CPC, 3+ years coding, and MS Office experience; oncology and billing know-how are a plus.

Qualifications

• 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, Excel) required.
• Prior oncology experience preferred.
• Prior medical billing experience preferred.

Responsibilities

• Review requests for coding changes (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 guidelines.
• Review and correct coding errors post-claim processing/denial and refile 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 reviews.

Skills

Medical coding

CPC exam (AAPC)

Education

High school diploma or equivalent

AAPC Certified Professional Coder Exam

Tools

Optum Encoder

CMS guidelines

Job description

Texas Oncology in Richardson, TX is seeking a Coding Analyst to join the Research Billing Department. This full-time hybrid role supports the clinic's 8:30a–5:00p schedule at 3001 E. President George Bush Hwy, Suite 100, Richardson.

You will review and assign CPT/HCPCS and ICD-10 codes, ensure claim accuracy, and support the compliance program. The ideal candidate has a high school diploma, CPC, 3+ years coding, and MS Office experience; oncology and billing know-how are a plus.