Senior Oncology Coding Quality Analyst

US Oncology Inc.; Richardson (TX); Hybrid; USD 90,000 - 115,000; Full time

Job summary

US Oncology Network in Richardson, TX is seeking a Sr. Coding Quality Analyst to join the Texas Oncology Coding Department in a full-time hybrid role. You will review coding, documentation, billing, and system issues, collaborating with multiple departments to resolve complex concerns and improve compliance.

The role requires strong auditing and coding expertise, with a focus on CPT/ICD-10, payer rules, and data-driven findings. Hybrid work schedule and standard business hours are offered.

Qualifications

• High school diploma or equivalent required. A four-year degree in Health Information Management, Healthcare Administration, Business, Finance, Nursing, or a related field is preferred.
• Minimum of seven years of relevant experience in professional fee coding, coding audit, billing compliance, reimbursement, healthcare operations, or related revenue cycle functions required.
• Minimum of three years of professional fee coding audit or complex coding review experience required.
• Experience with coding and billing systems, electronic medical records, practice management systems, claim information, data analysis, and operational workflows required.

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.

Skills

Coding audits

Medical coding

Data analysis

Healthcare compliance

Auditing

Education

Bachelor's degree preferred

Tools

EMR systems

Coding audit tools

Job description

US Oncology Network in Richardson, TX is seeking a Sr. Coding Quality Analyst to join the Texas Oncology Coding Department in a full-time hybrid role. You will review coding, documentation, billing, and system issues, collaborating with multiple departments to resolve complex concerns and improve compliance.

The role requires strong auditing and coding expertise, with a focus on CPT/ICD-10, payer rules, and data-driven findings. Hybrid work schedule and standard business hours are offered.