Medical Coder II

Oregon Specialty Group; Salem (OR); On-site; USD 43,000 - 51,000; Full time

Job summary

Oregon Oncology Specialists in Salem, OR is seeking a Certified Coder II to independently code complex charges across service lines and ensure first-pass claim quality. You will validate documentation support and medical necessity, apply modifiers and edits, and address denials with the billing team.

The role emphasizes documentation improvement, QA-assisted audits, and ongoing adaptation to payer policies.

Qualifications

• Associate degree in HIM or coding or equivalent training.
• AAPC CPC or AHIMA credential preferred/required depending on setting.
• 2+ years coding experience with independence across complexity, edits, and denials.

Responsibilities

• Codes complex and high-risk clinic charges independently with documentation support and medical necessity.
• Educates providers to improve documentation and reduce queries and rework.
• Monitor payer policy changes and align workflows accordingly.
• Resolve discrepancies and denials end-to-end with QA and AR teams.
• Support audits and compliance by documenting rationale and risk trends.
• Maintain specialty maintenance like NCCN alignment and claim accuracy.
• Lead cross-functional workflow improvements and generate actionable reports.

Skills

Multi-diagnosis/multi-procedure coding

Modifier/edit logic

Medical necessity knowledge

Provider communication

Independent coding

EMR proficiency

Education

Associate degree in HIM or coding

Tools

EMR systems

Microsoft Office Suite

Unlimited Systems Revenue Cycle Software

Job description

Description

The Certified Coder II is crucial to the Revenue Cycle at Oregon Oncology Specialists and supports our patients’ ability to pay for care. This mid-level coder position independently codes multiple provider charges over broader service lines and more complex work. They actively and independently resolve issues that impact claim quality and reimbursement.

• SCOPE: Independently demonstrates consistent and accurate application of coding principles, knowledge, quality assurance, and risk mitigation to multiple provider charges, over broad range of service lines; able to navigate complex specialty nuances.
• INDEPENDENCE: Works independently with spot- quality assurance reviews, and quarterly audits.
• PROBLEM SOLVING: Easily and independently resolves coding/documentation issues, documents rationale, and drives process improvements that reduce repeat errors.
• IMPACT OWNERSHIP: Produces accurate, compliant codes for multiple providers and service lines. Actively safeguards first-pass claim success by validating documentation support and medical necessity, applying modifiers/edits correctly, and proactively preventing avoidable denials, rework, and compliance risk.

Essential Job Functions

• Codes complex and high-risk clinic charges independently by validating documentation support/medical necessity, selecting appropriate ICD-10/CPT/HCPCS, and applying advanced modifier/edit logic to protect first-pass claim quality.
• Improves documentation quality by educating and consulting providers/clinical staff, translating coding requirements into clear, non-leading documentation guidance that reduces queries and rework.
• Monitors and operationalizes change (payer policies, coverage updates, code set changes, treatment/procedure shifts) by communicating impacts, updating internal guidance, and aligning coding/billing workflows accordingly.
• Resolves discrepancies and denials end-to-end by determining root cause (coding vs documentation vs payer edit), coordinating corrections with billing/AR, documenting rationale, and preventing repeat issues.
• Supports audits and compliance readiness by assembling support, explaining coding rationale, identifying risk trends, and partnering with QA/leadership on corrective action.
• Owns specialty-specific maintenance and accuracy (e.g., NDC updates and validation, applicable NCCN alignment where relevant) and actively troubleshoots claim rejections with AR/billing to ensure clean processing.
• Leads cross-functional workflow improvements by identifying breakdown points between departments, proposing fixes, and producing actionable reports/insights for the Revenue Cycle team.
• Regular, predictable, and reliable attendance is required to perform the essential duties of this position and to meet operational deadlines, maintain team coverage, and complete time-sensitive work that depends on in-person coordination and access to on-site systems/resources. Employees must report to work as scheduled, be punctual, and remain at work for assigned hours. For roles requiring coordination with patients, providers, and/or teams, consistent availability during scheduled hours is necessary to maintain safe and effective operations, continuity of work, and timely completion of job responsibilities. Employees must follow established call-out and scheduling procedures and provide timely notice of unscheduled absences when feasible. OSG will comply with applicable federal and Oregon laws regarding protected leave and reasonable accommodations.
• When remote work is approved, the employee must be reliably accessible via agreed communication channels and able to perform duties effectively during the scheduled workday.
• Performs other related duties as assigned by management, for which appropriate training will be provided, to support departmental objectives and organizational success.

Required Qualifications

• Education: Associate degree or equivalent required (HIM/coding degree or equivalent training preferred).
• Certification: AAPC CPC required (or specialty-relevant AAPC credential such as COC/CIC depending on your environment) without apprentice designation; equivalent AHIMA credential acceptable.
• Experience: 2+ years professional (outside of intern designation) coding experience or demonstrated independent performance across complexity, edits, and denials.
• Knowledge/Skills: Proficient in multi-diagnosis/multi-procedure coding, modifier/edit logic, medical necessity, payer policy application; able to research and apply guideline changes; effective provider communication for documentation improvement.
• Independence: Demonstrated ability to code independently with minimal QA rework, resolve discrepancies/denials, and support audits/compliance.
• Extensive computer experience and ability to learn new computer applications quickly and independently, including EMR(s), Microsoft Office Suite, and other software programs

Preferred Qualifications

• Bachelor’s degree in health care or related field or Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT)
• Minimum two (2) years of progressive and in-depth oncology professional services coding experience in a diagnostic and procedural coding assignments in a Medical Oncology setting
• Understanding of Unlimited Systems Revenue Cycle Software

A successful Medical Coder II will…

• Enjoy learning and maintaining current knowledge to ensure that OOS coding and documentation meet regulatory guidelines and audit standards
• Have knowledge and appreciation for Anatomy and Physiology
• Have effective written and verbal communication skills
• Collaborate with team members when code assignment is unclear, ambiguous, or inadequate
• Possess extraordinary critical thinking and organizational skills, and the ability to successfully apply them independently.
• Influence positive change
• Thrive in team environments

• Location 530 Center street,Salem, OR, 97301,United States
• Base Pay $31.31 - $36.71 / Hour
• Job Category Oregon Specialty Group