Senior Medical Coding Audit Lead (Remote)

The US Oncology Network; Richardson (TX); On-site; USD 90,000 - 115,000; Full time

Job summary

The US Oncology Network is seeking a Senior Coding Operations Quality Analyst in Richardson, Texas, to support the Revenue Cycle department. This full-time role involves conducting comprehensive coding and documentation reviews, audits, and data validation to improve accuracy and compliance.

Responsibilities include coordinating with Coding Operations, Audit Operations, Education, and IT to identify root causes and implement corrective actions while adhering to the Compliance Program and

Qualifications

• High school diploma or equivalent required; four-year degree preferred.
• Minimum seven years in professional coding, billing, or related revenue-cycle functions.
• Experience with clinical documentation and payer guidance; oncology experience preferred.

Responsibilities

• Perform complex reviews involving coding, documentation, billing, reimbursement, and operational processes.
• Conduct audits, medical record reviews, data validation, and claim reviews to substantiate findings.
• Coordinate with multiple departments to resolve identified issues and track corrective actions.
• Prepare concise reports detailing findings, root cause, impact, and recommendations.
• Maintain knowledge of coding guidance, payer requirements, and regulatory changes.

Skills

Analytical skills

Investigative skills

Written communication

Verbal communication

Problem-solving

Education

HS diploma or equivalent

Bachelor’s degree in Health Information Management/Healthcare Administration/Business/Finance/Nursing

Tools

Power BI

Microsoft Lists

Access

Audit software

Job description

The US Oncology Network is seeking a Senior Coding Operations Quality Analyst in Richardson, Texas, to support the Revenue Cycle department. This full-time role involves conducting comprehensive coding and documentation reviews, audits, and data validation to improve accuracy and compliance.

Responsibilities include coordinating with Coding Operations, Audit Operations, Education, and IT to identify root causes and implement corrective actions while adhering to the Compliance Program and