Oncology Revenue Integrity Architect

Southwest General Health Center Inc.; Cleveland (OH); On-site; USD 70,000 - 100,000; Full time

Job summary

Southwest General Health Center in Cleveland, OH seeks an Oncology Revenue Integrity Specialist to ensure accurate oncology and hematology billing and revenue capture on-site. You will review clinical documentation, coding, and charges to optimize reimbursement and maintain payer compliance.

Daily tasks include audits, trend analysis, reporting, and collaborating with oncology providers, billing teams, and Medical Affairs to resolve denials and educate staff on coding and compliance standards.

Qualifications

• Strong knowledge of oncology and hematology coding and documentation.
• Experience with healthcare revenue cycle, CPT/HCPCS/ICD coding, and billing.
• Familiarity with payer guidelines and regulatory standards for oncology services.

Responsibilities

• Audit clinical documentation, coding, and charge processes for accuracy.
• Analyze revenue trends and identify opportunities to improve capture and reimbursement.
• Prepare reports and make recommendations to enhance revenue integrity.
• Educate and support staff on oncology coding, billing practices, and compliance.
• Collaborate with oncology providers, billing teams, and Medical Affairs to resolve denials.

Skills

Oncology coding knowledge

Hematology knowledge

Revenue cycle experience

CPT/HCPCS/ICD coding

Regulatory compliance

Data analysis

Problem solving

Communication skills

Team collaboration

Education

Background in health administration or nursing

Job description

Southwest General Health Center in Cleveland, OH seeks an Oncology Revenue Integrity Specialist to ensure accurate oncology and hematology billing and revenue capture on-site. You will review clinical documentation, coding, and charges to optimize reimbursement and maintain payer compliance.

Daily tasks include audits, trend analysis, reporting, and collaborating with oncology providers, billing teams, and Medical Affairs to resolve denials and educate staff on coding and compliance standards.