Medical Coding Specialist

Astera Cancer Care; Northern (KY); Hybrid; USD 52,000 - 76,000; Full time

Job summary

OneOncology is seeking a Medical Coding Specialist to perform daily charge review of visits, diagnoses, and radiation oncology or surgeries for accurate billing levels. You will input charges into EMR and audit documentation for correct CPT, ICD-10, and HCPCS coding.

The role requires CPC/CCS-P certification, 4+ years coding experience, and experience with chart audits. Remote options may be available for qualified candidates.

Qualifications

• Must have a CPC, CCS-P, or other professional coding certification.
• Minimum of 4 years coding experience in a physician practice or hospital.
• 2 years’ chart audits or CPT/ICD-10 coding experience required.
• Knowledge of Medical Oncology/Radiation/Surgery coding is highly preferred.

Responsibilities

• Keep informed about current coding regulations and policies for oncology.
• Assist with third-party payor audits by organizing and reviewing chart documentation.
• Collaborate with other coders on difficult cases.
• Perform E&M and CPT coding reviews and related projects.
• Analyze data with leadership to resolve complex coding issues.
• Prepare reports on audit results and coding compliance for leadership.
• Assist with entry of charges into EMR and Practice Management System.
• Review charges/claims for accurate ICD-10, CPT, and HCPCS coding.
• Abstract codes for surgical procedures and determine service levels.
• Handle additional duties to support coding accuracy and compliance.

Skills

CPT coding

ICD-10 coding

HCPCS coding

Auditing

Documentation review

Communication

Medical oncology knowledge

Education

CPC or CCS-P certification

Tools

EMR systems

Practice Management System

Payer portals

MS Excel

Outlook

Job description

## Medical Coding SpecialistApplylocations: United Statestime type: Full timeposted on: Posted Todayjob requisition id: R-0000024563OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision.Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.**Job Description:****Role Summary:**The Medical Coding Specialist, is under general supervision, performs daily charge review of visits, diagnosis, radiation oncology or surgeries for accurate level and coding. Responsible for input charges into practice management system or EMR. The Medical Coding Specialist may also be assigned to audit physician, nurse practitioner and clinical oncology staff documentation for correct coding of CPT, ICD-10, HCPCs, and modifiers.**Responsibilities:*** Keep informed regarding current coding regulations, auditing, professional standards and company/department policies and procedures as it applies to the field of oncology, medical coding, and effectively applies this knowledge.* Assists with third party payor and other audit requests by compiling, organizing and reviewing chart documentation as needed.* Works with other coders in the department to assist with difficult cases.* Performs E&M and CPT coding review and other projects related to physician coding compliance in fulfillment of the practice’s compliance program.* Assists practice leadership to analyze data, identify issues, reach conclusions, and propose strategies for resolution of complex coding issues.* Communicate effectively with practice leadership regarding coding and documentation issues by assisting in the preparation of reports and memoranda regarding audit results and coding compliance matters.* Demonstrates outstanding work ethics and works cooperatively with all team members and management with a can-do spirit and team attitude.* Assist with audit and entry of charges into EMR system and/or Practice Management System* Review charges/claims for accurate coding of ICD10, CPT and HCPCS codes.* Ability to effectively abstract code surgical procedures and assign appropriate place of service and determine medical decision-making levels for E/M services.* Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.**Required or Preferred Qualifications:*** Must have a CPC, CCS-P, or other professional coding certification* Minimum of 4 years coding experience preferred* 2 years’ experience performing chart audits or assignment of appropriate CPT and ICD10 codes through documentation review, in a physician practice/hospital environment required.* Knowledge of Medical Oncology/Radiation/Surgery coding and leveling highly preferred**Essential Competencies:*** Attendance is an essential job function* Knowledge of government, legal and regulatory provisions related to collection activities.* Knowledge of government programs, i.e., Medicare and Medicaid.* Knowledge of insurance company’s policies and procedures.* Knowledge of CPT, ICD-9, HCPCS coding.* Knowledge of anatomy and medical terminology.* Ability to prioritize work and manage time efficiently.* Creative thinking skills, hands-on problem-solving skills and ability to analyze and respond to data.* Effective communication skills at all levels within organization and excellent customer service skills.* Proficiency in the use of end-user computer applications regarding productivity (MS Word, Excel, Outlook, payer sites), database and patient scheduling and other medical information systems.* Attendance is an essential job function.#LI-REMOTE