Oncology Coding Educator & Reimbursement Specialist

Jobtailor; Baton Rouge (LA); On-site; USD 60,000 - 80,000; Full time

Job summary

Jobtailor is seeking an Oncology Claims Analyst I to coordinate coding audits, deliver education, and support the Oncology Service Line. The role involves drug authorizations and managing coding queues across inpatient, outpatient, and infusion departments, ensuring CPT/HCPCS and ICD-10-CM-PCS accuracy.

Collaborate with FMOLHS and hospital departments, present coding education to providers, and serve as liaison for NCCN, ASCO, and FDA guidelines.

Qualifications

• 3 years of medical revenue cycle experience.
• High School Diploma.
• Experience with CPT/HCPCS/ICD-10 coding and auditing preferred.

Responsibilities

• Coordinate coding audits and educational functions for FMOLHS and the Oncology Service Line.
• Manage and work the edit and denial coding work queues for inpatient, outpatient clinic, and hospital-based infusion departments.
• Provide coding and reimbursement feedback for education opportunities identified to the Service Line and FMOLHS.

Skills

CPT Coding

HCPCS Coding

ICD-10-CM Coding

ICD-10-PCS Coding

Coding Audits

Documentation Review

Reimbursement Feedback

Coding Education Presentation

Edit and Denial Management

Drug Authorization Management

Education

High School Diploma

Job description

• The Oncology Claims Analyst 1 will coordinate coding audits and educational functions for FMOLHS and the Oncology Service Line. This individual will be responsible for drug authorizations, managing and working the edit and denial coding work queues for inpatient, outpatient clinic, and hospital based infusion departments and will provide coding and reimbursement feedback for education opportunities identified to the Service Line and FMOLHS. Prepares and presents coding education to providers and works in collaboration with various hospital and FMOLHS departments as a liaison related to NCCN, ASCO, and FDA guidelines. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes, understand current professional coder workflows, reviews principal, secondary diagnoses and procedures for hospital and physician (professional) services for inpatient, outpatient, and infusion records based on knowledge of coding systems. Additionally serves as business/reimbursement specialist for oncology drug regimens for both the Service Line and FMOLHS.

Requirements

• Experience: 3 years of medical revenue cycle experience
• Education: High School Diploma

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Hard Skills

• CPT Coding
• HCPCS Coding
• ICD-10-CM Coding
• ICD-10-PCS Coding
• Coding Audits
• Documentation Review
• Reimbursement Feedback
• Coding Education Presentation
• Edit and Denial Management
• Drug Authorization Management

Soft Skills

• Collaboration
• Communication
• Liaison Skills
• Educational Skills