Oncology Claims & Reimbursement Analyst

Fmolhs; Baton Rouge (LA); Hybride; USD 52 000 - 72 000; Plein temps

Résumé du poste

FMOLHS is hiring an Oncology Claims Analyst 1 to coordinate coding audits and educational activities for the Oncology Service Line. The role manages drug authorizations and denial queues across inpatient, outpatient, and infusion settings, providing coding and reimbursement education to providers.

The position collaborates with hospital departments and external guidelines (NCCN, ASCO, FDA) to ensure accurate CPT/HCPCS and ICD-10-CM-PCS coding and to support oncology drug regimens and

Qualifications

• 3 years of medical revenue cycle experience
• High School Diploma required, with knowledge of coding guidelines and reimbursement processes

Responsabilités

• Coding/Program Management: reviews and audits CPT/ICD-10-CM/PCS codes and handles prior authorization workflows.
• Advises FMOLHS on reimbursement issues and conducts data gathering and chart auditing for revenue cycle improvements.
• Collaboration/education: provides coding education to providers and liaises with departments on NCCN, ASCO and FDA guidelines.

Formation

High School Diploma

Description du poste

FMOLHS is hiring an Oncology Claims Analyst 1 to coordinate coding audits and educational activities for the Oncology Service Line. The role manages drug authorizations and denial queues across inpatient, outpatient, and infusion settings, providing coding and reimbursement education to providers.

The position collaborates with hospital departments and external guidelines (NCCN, ASCO, FDA) to ensure accurate CPT/HCPCS and ICD-10-CM-PCS coding and to support oncology drug regimens and