Medical Coding Specialist

OneOncology; United States; On-site; USD 50,000 - 70,000; Full time

Job summary

OneOncology is looking for a Medical Coding Specialist to perform charge review and ensure accurate coding for oncology services. Responsibilities include reviewing operative reports, performing audits, and communicating coding issues with practice leadership.

The ideal candidate should have a Professional coding certification and a minimum of 4 years of coding experience. Knowledge of medical oncology coding is highly preferred. This position requires effective communication skills and the ability to manage tasks efficiently.

Qualifications

• Minimum of 4 years coding experience preferred.
• 2 years of experience performing chart audits required.
• Knowledge of anatomy and medical terminology.

Responsibilities

• Perform daily charge review for accurate coding.
• Review operative reports to assign CPT and ICD10 codes.
• Assist practice leadership in analyzing data and proposing coding solutions.

Skills

Professional coding certification

Knowledge of Medical Oncology/Radiation/Surgery coding

CPT, ICD-10, HCPCS coding

Chart auditing

Education

CPC Certification through the AAPC

Job description

Job Description

Under general supervision the Medical Coding Specialist, 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

• Keeps informed regarding current coding regulations, auditing, professional standards and company/department policies and procedures as it applies to the field of oncology and effectively applies this knowledge.
• Review operative reports and other supporting documentation to assign appropriate CPT and ICD10 codes.
• Perform audit and entry of charges into EMR system and/or Practice Management System.
• Works with other coders in the department to assist with difficult cases.
• Assists practice leadership to analyze data, identify issues, reach conclusions, and propose strategies for resolution of complex coding issues.
• Communicates 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.
• Assists practice leadership in the development and review of detailed audit programs and reports to improve audit effectiveness and efficiency, as needed.
• Assists in developing and executing department educational plans related to coding matters, working in conjunction with the Charge Entry/Coding Manager.
• Assists in the development of procedure manuals related to coding and billing compliance.
• Demonstrates outstanding work ethic and works cooperatively with all team members and management with a can-do spirit and team attitude.
• Review charges/claims for accurate coding of ICD10, CPT and HCPCS codes.
• Additional responsibilities may be assigned to help drive our mission of improving the lives of everyone living with cancer.

Required Qualifications

• Must have a 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.
• CPC Certification through the AAPC preferred.
• Knowledge of Medical Oncology/Radiation /Surgery coding highly preferred.
• Must be willing and able to lift up to 25 pounds.
• Must be willing and able to travel to satellite clinics when necessary.

Essential Competencies

• Attendance is an essential job function.
• Ability to travel to various sites throughout Middle Tennessee to conduct audits of records.
• 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.