Senior Medical Coding Auditor — Audits & Compliance

US Oncology Network-wide Career Opportunities; Richardson (TX); On-site; USD 90,000 - 120,000; Full time

Job summary

The US Oncology Network is seeking a Senior Medical Coding Auditor to join Texas Oncology in Richardson, TX. This full-time role supports the Revenue Cycle Department and conducts comprehensive coding and documentation audits to ensure accurate reimbursements and compliance.

Under supervision, you will review coding, billing, system configurations, and workflows; identify root causes; and coordinate with multiple departments to implement corrective actions and sustain improvements in payer

Responsibilities

• Performs complex reviews and investigations involving coding, documentation, billing, reimbursement, systems, workflows, operational processes, and related quality concerns.
• Receives and evaluates review requests originating within Coding Operations or from organizational stakeholders requiring coding and operational expertise.
• Establishes the appropriate scope and review methodology based on the reported concern, potential risk, available information, and affected services or processes.
• Reviews medical records, provider documentation, coding, charges, claims, billing activity, system configuration, operational workflows, policies, procedures, and supporting data to determine the facts and circumstances related to each concern.
• Documents responsible owners, required actions, and target completion dates based on leadership direction and the outcome of the review.

Job description

The US Oncology Network is seeking a Senior Medical Coding Auditor to join Texas Oncology in Richardson, TX. This full-time role supports the Revenue Cycle Department and conducts comprehensive coding and documentation audits to ensure accurate reimbursements and compliance.

Under supervision, you will review coding, billing, system configurations, and workflows; identify root causes; and coordinate with multiple departments to implement corrective actions and sustain improvements in payer