RCM Coding Education Specialist

OneOncology, LLC; United States; À distance; USD 85 000 - 110 000; Plein temps

Résumé du poste

OneOncology is seeking a results‑driven RCM Coding Education Specialist to design, deliver, and evaluate provider‑focused coding and documentation education.

You will translate ICD-10-CM, CPT, and HCPCS changes into practical training, coach physicians, analyze audit results, and collaborate with compliance and revenue cycle teams.

A CPC or CCS credential and strong communication skills are required, with experience in medical coding education and EHR/coding software.

Qualifications

• 2–3 years healthcare coding, charge capture, compliance, auditing, or provider education experience.
• Working knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines.
• Basic understanding of provider documentation requirements and regulatory compliance standards.
• CPC or CCS credential.
• Experience with EHR and coding/billing software.

Responsabilités

• Develop and deliver provider coding and documentation education for physicians and advanced practice providers.
• Interpret and communicate coding guideline changes, payer updates, and regulatory requirements.
• Conduct coding and documentation reviews to identify education opportunities and performance improvement initiatives.
• Collaborate with coding, compliance, revenue cycle, and operational leaders to address coding and documentation trends.
• Provide one-on-one provider coaching and specialty-specific education.
• Analyze audit results, denial patterns, coding accuracy metrics, and charge capture opportunities.
• Create educational materials, reference tools, and training programs to support coding compliance and documentation excellence.
• Support compliance efforts through coding audits, corrective action plans, and ongoing provider education.
• Serve as a trusted resource for coding, documentation, and reimbursement-related questions.

Connaissances

Communication

Coaching

Data analysis

Documentation improvement

Provider education

Formation

Associate's degree in Health Information Management

Certified Professional Coder (CPC) or CCS

Outils

Excel

Word

PowerPoint

Outlook

EHR systems

Description du poste

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision.

Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.

Job Description:

Role Summary: The RCM Coding Education Specialist will report to the Manager, Coding. This role is responsible for developing, delivering, and evaluating provider-focused coding and documentation education programs that promote accurate clinical documentation, compliant coding practices, and optimal charge capture. This position serves as a subject matter expert in professional fee coding, documentation guidelines, regulatory compliance, and industry best practices while fostering a culture of continuous learning and documentation excellence across the organization.

Responsibilities:

• Develop and deliver provider coding and documentation education for physicians and advanced practice providers.
• Interpret and communicate coding guideline changes, payer updates, and regulatory requirements.
• Conduct coding and documentation reviews to identify education opportunities and performance improvement initiatives.
• Collaborate with coding, compliance, revenue cycle, and operational leaders to address coding and documentation trends.
• Provide one-on-one provider coaching and specialty-specific education.
• Analyze audit results, denial patterns, coding accuracy metrics, and charge capture opportunities.
• Create educational materials, reference tools, and training programs to support coding compliance and documentation excellence.
• Support compliance efforts through coding audits, corrective action plans, and ongoing provider education.
• Serve as a trusted resource for coding, documentation, and reimbursement-related questions.
• Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.

Required or Preferred Qualifications:

• High school diploma or equivalent required; Associate's degree in Health Information Management, Healthcare Administration, or related field preferred.
• Minimum of 2-3 years of healthcare coding, charge capture, compliance, auditing, or provider education experience.
• Working knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines.
• Basic understanding of provider documentation requirements, medical necessity, and regulatory compliance standards.
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential.
• Previous experience supporting physician coding education, clinical documentation improvement (CDI), or provider engagement initiatives.
• Familiarity with professional fee coding, E/M coding guidelines, and Urology/Oncology-specific coding requirements.
• Experience assisting with coding audits, monitoring, and education program development.
• Knowledge of payer policies, reimbursement methodologies, and compliance regulations.
• Experience developing educational materials, tip sheets, presentations, or provider communications.
• Experience with electronic health records (EHR) and coding/billing software.
• Proficiency in Microsoft Office applications, including Excel, Word, PowerPoint, and Outlook.
• Ability to maintain confidentiality and handle protected health information (PHI) in accordance with HIPAA regulations.

Essential Competencies:

• Strong written and verbal communication skills with the ability to explain coding concepts to providers and clinical staff.
• Excellent organizational skills and attention to detail.
• Ability to analyze documentation and identify coding or documentation improvement opportunities.
• Professional fee coding expertise
• Provider education and coaching
• Clinical documentation improvement
• Compliance and regulatory knowledge
• Data analysis and reporting
• Revenue cycle and charge capture optimization
• Communication and presentation skills
• Relationship building and stakeholder engagementAttendance is an essential job function.

This job description does not contain a full listing of activities, duties or responsibilities required of this role. Duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice.

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