Radiation Billing & Reimbursement Specialist

Jimmy Jazz; Salina (KS); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

FSA

Life Insurance

Disability Insurance

401(k) with match

Paid Vacation

Paid Holidays

Educational Assistance

Uniform Reimbursement

Job summary

Central Care Cancer Center is seeking a Radiation Billing Specialist to join our billing team in Kansas. You will manage complex reviews, coding and billing for radiation oncology services, working with physicians and clinical staff to ensure accurate charges and timely reimbursements.

Responsibilities include assigning CPT, HCPCS, ICD-10 codes across modalities, validating treatment parameters, reconciling prescriptions, reviewing imaging for billing compliance, handling denials in Epic,

Qualifications

• Bachelor's Degree in Business Administration, Hospital Administration or related field preferred or equivalent years of experience in Radiation Billing.
• 3 years billing, coding, or cost accounting experience including two years in a medical service environment.
• Strong proficiency in medical billing software, EHR, payer guidelines, and detailed data analysis.

Responsibilities

• Perform complex reviews and advanced clinical abstraction of Radiation Oncology services, including simulation, dose distribution treatment planning, and treatment delivery modality and complexity.
• Assign CPT, HCPCS, and ICD-10 codes across radiation therapy modalities including 3D CRT, IMRT, Proton Therapy, Brachytherapy, and SRS (Gamma Knife).
• Validate treatment parameters, including monitor units, gantry angles, and control points, to ensure coding accuracy.
• Reconcile physician prescriptions with delivered treatments to ensure alignment of technical and professional charges.
• Review and validate KV imaging, CBCT imaging, and supporting documentation for compliant billing.
• Complete end‑of‑course chart audits to ensure full charge capture and documentation completeness.
• Resolve charge review, claim edit, and denial work queues within Epic.
• Analyze denial trends related to CCI edits, MUE limitations, medical necessity requirements, and bundling issues.
• Implement corrective actions to reduce denials and improve reimbursement outcomes.
• Prepare appeal documentation and collaborate with payer teams to support claim resolution.
• Identify systemic revenue cycle issues and recommend workflow or documentation improvements.
• Ensure billing practices align with annual industry updates, including ASTRO billing standards.
• Educate clinical teams regarding documentation requirements needed to support all submitted charges.
• Maintain current knowledge of regulatory updates, including ASTRO and CMS rule changes.
• Communicate effectively with physicians and clinical staff to provide education and feedback regarding coding and documentation issues.
• Ensure compliance with CMS, NCCI, MUE, and payer‑specific billing guidelines.
• Identify compliance risks and elevate issues appropriately.

Skills

Medical billing software

EHR

Payer guidelines

Data analysis

Education

Bachelor's degree

Job description

Central Care Cancer Center is seeking a Radiation Billing Specialist to join our billing team in Kansas. You will manage complex reviews, coding and billing for radiation oncology services, working with physicians and clinical staff to ensure accurate charges and timely reimbursements.

Responsibilities include assigning CPT, HCPCS, ICD-10 codes across modalities, validating treatment parameters, reconciling prescriptions, reviewing imaging for billing compliance, handling denials in Epic,